Healthcare Provider Details

I. General information

NPI: 1104005677
Provider Name (Legal Business Name): SONYA WALKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 06/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 ADAMS ST SE STE 220
HUNTSVILLE AL
35801-3730
US

IV. Provider business mailing address

910 ADAMS ST SE STE 220
HUNTSVILLE AL
35801-3730
US

V. Phone/Fax

Practice location:
  • Phone: 256-265-1800
  • Fax: 256-265-1801
Mailing address:
  • Phone: 256-265-1800
  • Fax: 256-265-1801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number30485
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: