Provider Demographics
NPI:1649576539
Name:WALKER, WILLIAM BRYANT (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BRYANT
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1000 HIGHLAND COLONY PKWY
Mailing Address - Street 2:SUITE 27202
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-2073
Mailing Address - Country:US
Mailing Address - Phone:769-300-2946
Mailing Address - Fax:769-300-2953
Practice Address - Street 1:1000 HIGHLAND COLONY PKWY
Practice Address - Street 2:SUITE 27202
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-2073
Practice Address - Country:US
Practice Address - Phone:769-300-2946
Practice Address - Fax:769-300-2953
Is Sole Proprietor?:No
Enumeration Date:2011-02-10
Last Update Date:2014-07-03
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Provider Licenses
StateLicense IDTaxonomies
MS21164208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery