Provider Demographics
NPI:1376580159
Name:WALKER, ALLEN R JR (MD, PHD, THD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:R
Last Name:WALKER
Suffix:JR
Gender:M
Credentials:MD, PHD, THD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 RAYMOND HIRSCH PKWY
Mailing Address - Street 2:
Mailing Address - City:WHITE HOUSE
Mailing Address - State:TN
Mailing Address - Zip Code:37188-8080
Mailing Address - Country:US
Mailing Address - Phone:615-672-1221
Mailing Address - Fax:615-672-1231
Practice Address - Street 1:538 RAYMOND HIRSCH PKWY
Practice Address - Street 2:
Practice Address - City:WHITE HOUSE
Practice Address - State:TN
Practice Address - Zip Code:37188-8080
Practice Address - Country:US
Practice Address - Phone:615-672-1221
Practice Address - Fax:615-672-1231
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD25058207P00000X
TNTN35058174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4172875OtherBLUECROSS BLUESHIELD OF TENNESSEE
TN4172875OtherBLUECROSS BLUESHIELD OF TENNESSEE
TN30804631Medicare PIN