Healthcare Provider Details

I. General information

NPI: 1922444363
Provider Name (Legal Business Name): EVERALD URIAH WALKER JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2013
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HOSPITAL CENTER CMNS STE 200B
HILTON HEAD ISLAND SC
29926-2857
US

IV. Provider business mailing address

55 HOSPITAL CENTER CMNS STE 200B
HILTON HEAD ISLAND SC
29926-2857
US

V. Phone/Fax

Practice location:
  • Phone: 843-342-4455
  • Fax: 843-342-4456
Mailing address:
  • Phone: 843-342-4455
  • Fax: 843-342-4456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number54605
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME142514
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberFW6236625
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: