| Walker Medical Diagnostics, Llc | |
|
1450 Jones Dairy Road Bldg 600 Jasper AL 35501 | |
| (205) 295-4106 | |
| (205) 295-4206 |
| Full Name | Walker Medical Diagnostics, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1450 Jones Dairy Road, Jasper, Alabama |
| Authorized Official Name and Position | Lee F Stephens (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2052954106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walker Medical Diagnostics, Llc 1450 Jones Dairy Road Bldg 600 Jasper AL 35501 Ph: (205) 295-4100 | Walker Medical Diagnostics, Llc 1450 Jones Dairy Road Bldg 600 Jasper AL 35501 Ph: (205) 295-4106 |
| NPI Number | 1649350646 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 03/08/2021 |
| Medicare PECOS PAC ID | 8921000845 |
|---|---|
| Medicare Enrollment ID | O20070206000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649350646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8390 (Alabama) | Primary |
| Provider Name | James R Barton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275567182 PECOS PAC ID: 1850297722 Enrollment ID: I20031210001072 |
| Provider Name | Jerry V Mosley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821106592 PECOS PAC ID: 4789647710 Enrollment ID: I20041110000347 |
| Provider Name | Steve D Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144338880 PECOS PAC ID: 3476516402 Enrollment ID: I20041110000369 |
| Provider Name | Michael H Brasfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194734665 PECOS PAC ID: 0547226466 Enrollment ID: I20041210000309 |
| Provider Name | Claude U Osula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235137688 PECOS PAC ID: 5092772152 Enrollment ID: I20041213000455 |
| Provider Name | Candice Hagler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437200037 PECOS PAC ID: 5193829430 Enrollment ID: I20070327000354 |
| Provider Name | Sonja D Pettus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184769424 PECOS PAC ID: 0244337897 Enrollment ID: I20070516000471 |
| Provider Name | Jeremy T Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205053352 PECOS PAC ID: 9638278138 Enrollment ID: I20070625000435 |
| Provider Name | Emily B Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659593655 PECOS PAC ID: 4587755996 Enrollment ID: I20070814000225 |
| Provider Name | Amanda K Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710378260 PECOS PAC ID: 1951622588 Enrollment ID: I20150609000961 |
| Provider Name | Jennifer N. Beasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700291903 PECOS PAC ID: 2163737164 Enrollment ID: I20171002000170 |
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