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Individual

DR. HARRISON CARROLL WALKER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., P.A.

Contact information

Practice address
100 BRANDON RD, SUITE W, STARKVILLE, MS 39759-2571
(662) 323-9726
(662) 323-9727
Mailing address
311 E GILLESPIE ST, STARKVILLE, MS 39759-3303
(662) 323-6921
(662) 323-9727

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
PEDO-006-74
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00063365
MS
05
09205284
MS
Enumeration date
08/18/2006
Last updated
07/09/2007
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