Provider Demographics
NPI: | 1457338667 |
---|---|
Name: | WALKER, MEECA (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | MEECA |
Middle Name: | |
Last Name: | WALKER |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 929 SPRING CREEK RD |
Mailing Address - Street 2: | STE# 201 |
Mailing Address - City: | CHATTANOOGA |
Mailing Address - State: | TN |
Mailing Address - Zip Code: | 37412-3964 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 423-893-6898 |
Mailing Address - Fax: | 423-893-6801 |
Practice Address - Street 1: | 929 SPRING CREEK RD |
Practice Address - Street 2: | STE# 201 |
Practice Address - City: | CHATTANOOGA |
Practice Address - State: | TN |
Practice Address - Zip Code: | 37412-3964 |
Practice Address - Country: | US |
Practice Address - Phone: | 423-893-6898 |
Practice Address - Fax: | 423-893-6801 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2005-12-29 |
Last Update Date: | 2011-06-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TN | 37922 | 207V00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TN | 100043682 | Other | CARITEN & PHP |
TN | 4089948 | Other | BLUE CROSS BLUE SHIELD |
TN | TN0101 | Other | JOHN DEERE HEALTH |
TN | TN0101 | Other | JOHN DEERE HEALTH |
TN | H90241 | Medicare UPIN |