Provider Demographics
NPI:1780787366
Name:WALKER, PRICE JR (MD)
Entity type:Individual
Prefix:DR
First Name:PRICE
Middle Name:
Last Name:WALKER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:PRICE
Other - Middle Name:
Other - Last Name:WALKER
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD PC
Mailing Address - Street 1:PO BOX 9516
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31908
Mailing Address - Country:US
Mailing Address - Phone:706-322-6890
Mailing Address - Fax:706-322-8361
Practice Address - Street 1:1013 TALBOTTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904
Practice Address - Country:US
Practice Address - Phone:706-322-6890
Practice Address - Fax:706-322-8361
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA021065207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000269519AMedicaid
GA000269519DOtherDMERC MD
D46409Medicare UPIN
GA000269519AMedicaid
GA000269519DOtherDMERC MD