Provider Demographics
NPI:1326157496
Name:WALKER, GEORGE STANLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:STANLEY
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 PRYTANIA ST
Mailing Address - Street 2:SUITE 76
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115
Mailing Address - Country:US
Mailing Address - Phone:504-891-7477
Mailing Address - Fax:504-891-7478
Practice Address - Street 1:3600 PRYTANIA ST
Practice Address - Street 2:SUITE 76
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115
Practice Address - Country:US
Practice Address - Phone:504-891-7477
Practice Address - Fax:504-891-7478
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD03979R207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1171077Medicaid
LA5K664Medicare ID - Type Unspecified
B60980Medicare UPIN