Individual
JOAN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1640 BREAZEALE SPRINGS ST, NATCHITOCHES, LA 71457-4278
(318) 357-2056
(318) 521-8031
Mailing address
105 JEFFERSON ST, NATCHITOCHES, LA 71457-4350
(318) 357-2086
(318) 521-8031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025544
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080191197
RAILROAD MEDICARE
—
05
—
1577804
—
LA
Enumeration date
08/16/2005
Last updated
10/19/2020
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