Individual
LEE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 BRUNSON DR, TUPELO, MS 38801-4947
(662) 844-7211
(662) 844-7211
Mailing address
2500 N STATE ST, DEPT. OF OPHTHALMOLOGY, JACKSON, MS 39216-4500
(601) 984-5023
(601) 815-3773
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
23881
MS
207W00000X
Ophthalmology Physician
Primary
T2617
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T2617
TEMPORARY MEDICAL LICENSE NUMBER
MS
Enumeration date
06/29/2012
Last updated
07/13/2023
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