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Individual

DR. MOLLIE ANN WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
804 CRAWFORD ST, TUSKEGEE, AL 36083-7262
(344) 724-0550
(334) 724-0591
Mailing address
804 CRAWFORD ST, TUSKEGEE, AL 36083-7262
(344) 724-0550
(334) 724-0591

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0011822
AL
261QR1300X
Rural Health Clinic/Center
11822
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008500560
AL
01
51502423
BLUE CROSS
01
C76904
UPIN
AL
Enumeration date
10/23/2007
Last updated
04/09/2017
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