MEDICARE: JAMES H WALKER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	52011	TN

General Provider Information

NPI Number	:	1306840194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES H WALKER MD

Provider Business Mailing Address
First Line	:	134 TARA LN
Second Line	:
City	:	GOODLETTSVILLE
State	:	TN
Zip	:	37072-8427
Country	:	US
Telephone Number	:	540-968-6564
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 JOEL DR
Second Line	:
City	:	FORT CAMPBELL
State	:	KY
Zip	:	42223-5318
Country	:	US
Telephone Number	:	540-968-6564
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	04/24/2025

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