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Individual

ANDREW JACKSON WALKER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1320 HIGHWAY 9 BYPASS, LANCASTER, SC 29720-4712
(803) 283-9998
(803) 283-9997
Mailing address
1320 HIGHWAY 9 BYPASS, LANCASTER, SC 29720-4712
(803) 283-9998
(803) 283-9997

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2518
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZ2518
SC
Enumeration date
06/28/2006
Last updated
07/08/2007
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