Individual
JERALD WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
710 PARK CENTER DR STE 300, MATTHEWS, NC 28105-5082
(704) 323-3200
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2377
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
185417
ID
Other
Enumeration date
02/04/2019
Last updated
10/18/2021
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