Provider Demographics
NPI:1316440829
Name:WALKER, JOY GRIMES
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:GRIMES
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2975 BRIDLE CIR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-7026
Mailing Address - Country:US
Mailing Address - Phone:843-206-7355
Mailing Address - Fax:888-754-7050
Practice Address - Street 1:2975 BRIDLE CIR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-7026
Practice Address - Country:US
Practice Address - Phone:843-206-7355
Practice Address - Fax:888-754-7050
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-10
Last Update Date:2018-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)