Individual
MRS. STORMY B WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3240 SUNSET BLVD, WEST COLUMBIA, SC 29169-3428
(803) 359-8855
(803) 794-6480
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
21916
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
21916
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5283
—
SC
Enumeration date
06/04/2018
Last updated
04/19/2023
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