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
StateLicense IDTaxonomies
TN37922207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN100043682OtherCARITEN & PHP
TN4089948OtherBLUE CROSS BLUE SHIELD
TNTN0101OtherJOHN DEERE HEALTH
TNTN0101OtherJOHN DEERE HEALTH
TNH90241Medicare UPIN