Individual
ISAAC BENJAMIN WALKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
745 ONE MILE RD, EVINGTON, VA 24550-2044
(434) 851-5010
(434) 821-1823
Mailing address
745 ONE MILE RD, EVINGTON, VA 24550-2044
(434) 851-5010
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T60707149
VA
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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