Healthcare Provider Details

I. General information

NPI: 1023186798
Provider Name (Legal Business Name): SHERI ADAMS WALKER ITS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6958 NEXUS CT STE 102
FAYETTEVILLE NC
28304-2642
US

IV. Provider business mailing address

5810 ARBUTUS TRL
FAYETTEVILLE NC
28311-1488
US

V. Phone/Fax

Practice location:
  • Phone: 910-423-5622
  • Fax: 910-423-5538
Mailing address:
  • Phone: 910-822-0958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: