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NPI Code Detail

MEDICARE: BHC - WALKER IMAGING

MEDICARE: BHC - WALKER IMAGING
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
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770547739
Entity Type Code : Organization
Provider Name (Legal Business Name) : BHC - WALKER IMAGING
Provider Business Mailing Address
First Line : 302 BLACKWELL DAIRY RD
Second Line :
City : JASPER
State : AL
Zip : 35504-8406
Country : US
Telephone Number : 205-221-4770
Fax Number : 205-221-7606
Provider Business Practice Location Address
First Line : 302 BLACKWELL DAIRY RD
Second Line :
City : JASPER
State : AL
Zip : 35504-8406
Country : US
Telephone Number : 205-221-4770
Fax Number : 205-221-7606
Authorized Official
Title or Position : PRESIDENT/CEO
Name : G. SCOTT FENN
Credential :
Telephone Number : 205-715-5415
Provider Enumeration Date : 04/14/2006
Last Update Date : 11/06/2014

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Directions to “BHC - WALKER IMAGING ” Practice Location

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