Provider Demographics
NPI:1386638351
Name:WALKER, ORRIN ABRAHAM (MD)
Entity Type:Individual
Prefix:MR
First Name:ORRIN
Middle Name:ABRAHAM
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 1:302 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHINA GROVE
Mailing Address - State:NC
Mailing Address - Zip Code:28023-2471
Mailing Address - Country:US
Mailing Address - Phone:704-857-8769
Mailing Address - Fax:704-857-5779
Practice Address - Street 1:302 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CHINA GROVE
Practice Address - State:NC
Practice Address - Zip Code:28023-2471
Practice Address - Country:US
Practice Address - Phone:704-857-8769
Practice Address - Fax:704-857-8779
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000656207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891266HMedicaid
NC2280895BMedicare ID - Type Unspecified
G90209Medicare UPIN