Individual
ROBERT RICARDO WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1007 GROVE RD, SUITE D, GREENVILLE, SC 29605-4630
(864) 558-0405
(864) 558-0407
Mailing address
1007 GROVE RD, SUITE D, GREENVILLE, SC 29605-4630
(864) 558-0405
(864) 558-0407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19534
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110230171
RR MEDICARE
SC
05
—
195345
—
SC
05
—
GP6470
—
SC
Enumeration date
05/06/2006
Last updated
06/22/2016
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