Individual
THOMAS GERALD WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
123 N CHALKVILLE RD, SUITE # 2, TRUSSVILLE, AL 35173-1376
(205) 655-8977
(205) 655-6854
Mailing address
123 N CHALKVILLE RD, SUITE # 2, TRUSSVILLE, AL 35173-1376
(205) 655-8977
(205) 655-6854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3807
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430205
UNITED CONCORDIA
AL
01
—
51531334
BCBS
AL
Enumeration date
04/23/2007
Last updated
07/08/2007
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