Provider Demographics
NPI:1104070390
Name:WALKER, JOSEPH SETH (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:SETH
Last Name:WALKER
Suffix:
Gender:M
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:PO BOX 726
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35594-0726
Mailing Address - Country:US
Mailing Address - Phone:205-487-7661
Mailing Address - Fax:877-915-6502
Practice Address - Street 1:200 CARRAWAY DR STE B2
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:AL
Practice Address - Zip Code:35594-5072
Practice Address - Country:US
Practice Address - Phone:205-487-7661
Practice Address - Fax:877-915-6502
Is Sole Proprietor?:No
Enumeration Date:2008-11-14
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL30101208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery