Individual
DIANA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
388 VENTURE DR STE I, SMITHFIELD, NC 27577-4775
(919) 209-0796
(919) 209-0073
Mailing address
388 VENTURE DR STE I, SMITHFIELD, NC 27577-4775
(919) 209-0796
(919) 209-0073
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-06269
NC
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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