Provider Demographics
NPI:1689648123
Name:WALKER, ERIN ALYSON (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:ALYSON
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2180 HENRY TECKLENBURG DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5798
Mailing Address - Country:US
Mailing Address - Phone:843-556-8886
Mailing Address - Fax:843-556-8850
Practice Address - Street 1:1364 ASHLEY RIVER RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-5347
Practice Address - Country:US
Practice Address - Phone:843-556-8886
Practice Address - Fax:843-556-8850
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCMD37882207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY12U051-W2L683Medicare PIN
NYA52956Medicare UPIN