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Individual

MARVIN WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
54 HILL ST, SPRUCE PINE, NC 28777-8923
(828) 765-2020
(828) 765-2451
Mailing address
54 HILL ST, SPRUCE PINE, NC 28777-8923
(828) 765-2020
(828) 765-2451

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1129
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09946
BLUE CROSS/BLUE SHIELD
NC
01
2270853
UNITED HEALTH CARE
NC
01
246416C
RAILROAD MEDICARE
NC
05
8909946
NC
Enumeration date
08/31/2006
Last updated
02/07/2008
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