Provider Demographics
NPI:1689872442
Name:WALKER, DUANE THOMAS (DC)
Entity Type:Individual
Prefix:
First Name:DUANE
Middle Name:THOMAS
Last Name:WALKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 CHERRY ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:GATLINBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37738
Mailing Address - Country:US
Mailing Address - Phone:865-436-2000
Mailing Address - Fax:865-436-5346
Practice Address - Street 1:450 CHERRY ST
Practice Address - Street 2:SUITE 6
Practice Address - City:GATLINBURG
Practice Address - State:TN
Practice Address - Zip Code:37738
Practice Address - Country:US
Practice Address - Phone:865-436-2000
Practice Address - Fax:865-436-5346
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN566111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor