Provider Demographics
NPI:1497809891
Name:HUNTER-WALKER, TERRI LYNN (MD MS PH)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:LYNN
Last Name:HUNTER-WALKER
Suffix:
Gender:F
Credentials:MD MS PH
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:LYNN
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2131 THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-6317
Mailing Address - Country:US
Mailing Address - Phone:615-294-1020
Mailing Address - Fax:615-294-1020
Practice Address - Street 1:983 NISSAN DR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-4405
Practice Address - Country:US
Practice Address - Phone:615-459-1944
Practice Address - Fax:615-459-1898
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN02497208D00000X, 2083X0100X
TNMD0249712083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
3889661Medicare ID - Type Unspecified
G05907Medicare UPIN