Healthcare Provider Details

I. General information

NPI: 1912037243
Provider Name (Legal Business Name): LES A WALKER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: LESLEY A WALKER D.C.

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 SC 90 EAST UNIT C/FOX FIRE PLAZA
LITTLE RIVER SC
29566
US

IV. Provider business mailing address

3201 BELLS LAKE CIR
LONGS SC
29568-7653
US

V. Phone/Fax

Practice location:
  • Phone: 843-864-4096
  • Fax:
Mailing address:
  • Phone: 843-864-4096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4932
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: