Provider Demographics
NPI:1902947898
Name:WALTON, NORMAN WILLIAM III (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:WILLIAM
Last Name:WALTON
Suffix:III
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 1:713 27TH ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-2612
Mailing Address - Country:US
Mailing Address - Phone:205-324-7556
Mailing Address - Fax:205-324-8415
Practice Address - Street 1:713 27TH ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-2612
Practice Address - Country:US
Practice Address - Phone:205-324-7556
Practice Address - Fax:205-324-8415
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7223207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207N00000XAllopathic & Osteopathic PhysiciansDermatology
Not Answered207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC71909Medicare UPIN