Organization
SETON MEDICAL MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L. WALKER MD (PRESIDENT)
(251) 633-8880
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, SUITE D143, MOBILE, AL 36608-6705
(251) 342-3949
(251) 631-3361
Mailing address
PO BOX 850489, MOBILE, AL 36685-0489
(251) 342-3949
(251) 631-3361
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01673210
—
MS
05
—
156184
—
AL
01
—
DU6840
MEDICARE RAILROAD
—
Enumeration date
11/08/2013
Last updated
08/31/2015
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