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NPI Code Detail

MEDICARE: MADISON MAE WALKER DO

MEDICARE: MADISON MAE WALKER DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramAL

General Provider Information

NPI Number : 1700721255
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON MAE WALKER DO
Provider Business Mailing Address
First Line : 1500 LEGACY FARM DR SE APT 446
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-2672
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3690 GRANDVIEW PKWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-3326
Country : US
Telephone Number : 205-971-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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