Healthcare Provider Details

I. General information

NPI: 1386705374
Provider Name (Legal Business Name): CECIL MURRAY WALKER III D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 HWY 258 N
FARMVILLE NC
27828
US

IV. Provider business mailing address

7950 HWY 258 N
FARMVILLE NC
27828
US

V. Phone/Fax

Practice location:
  • Phone: 866-318-3251
  • Fax: 866-779-0203
Mailing address:
  • Phone: 866-318-3251
  • Fax: 866-779-0203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1555
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: