Provider Demographics
NPI:1598878001
Name:WALKER, FLOURNOY COLZEY III (MD)
Entity Type:Individual
Prefix:DR
First Name:FLOURNOY
Middle Name:COLZEY
Last Name:WALKER
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:9313 MEDICAL PLAZA DR
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9155
Mailing Address - Country:US
Mailing Address - Phone:843-553-0484
Mailing Address - Fax:843-569-1556
Practice Address - Street 1:9313 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 302
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9155
Practice Address - Country:US
Practice Address - Phone:843-553-0484
Practice Address - Fax:843-569-1556
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2015-03-26
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Provider Licenses
StateLicense IDTaxonomies
SC8193207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP0415Medicaid
SCGP0415Medicaid
SC8729Medicare PIN