Individual
TARA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 CANE CIR, MOREHEAD CITY, NC 28557-9690
(301) 523-3396
Mailing address
9407 BLACKWELL RD, #102, ROCKVILLE, MD 20850-3674
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0080318
MD
208600000X
Surgery Physician
0101237003
VA
Other
Enumeration date
02/23/2007
Last updated
11/11/2015
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