| H. Carroll Walker, Jr., Dds,pa | |
|
100 Brandon Rd Ste W Starkville MS 39759-2571 | |
| (662) 323-9726 | |
| (662) 323-9727 |
| Full Name | H. Carroll Walker, Jr., Dds,pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 100 Brandon Rd Ste W, Starkville, Mississippi |
| Authorized Official Name and Position | Darcy Redus (OFFICE MGR) |
| Authorized Official Contact | 6623239726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H. Carroll Walker, Jr., Dds,pa 100 Brandon Rd Ste W Starkville MS 39759-2571 Ph: (662) 323-9726 | H. Carroll Walker, Jr., Dds,pa 100 Brandon Rd Ste W Starkville MS 39759-2571 Ph: (662) 323-9726 |
| NPI Number | 1124209465 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 11/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124209465 | NPI | - | NPPES |
| 09205284 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | PEDO-006-74 (Mississippi) | Primary |
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