Basic Information
| Provider Information | |||||||||
| NPI: | 1215992425 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WALKER | ||||||||
| FirstName: | TERESA | ||||||||
| MiddleName: | G. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2890 DAUPHIN ST | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366062457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514732020 | ||||||||
| FaxNumber: | 2514796737 | ||||||||
| Practice Location | |||||||||
| Address1: | 2890 DAUPHIN ST | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366062457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514732020 | ||||||||
| FaxNumber: | 2514796737 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 00011540 | AL | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.