Healthcare Provider Details

I. General information

NPI: 1689648123
Provider Name (Legal Business Name): ERIN ALYSON WALKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1364 ASHLEY RIVER RD
CHARLESTON SC
29407-5347
US

IV. Provider business mailing address

2180 HENRY TECKLENBURG DR
CHARLESTON SC
29414-5798
US

V. Phone/Fax

Practice location:
  • Phone: 843-556-8886
  • Fax: 843-556-8850
Mailing address:
  • Phone: 843-556-8886
  • Fax: 843-556-8850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD37882
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: