Healthcare Provider Details

I. General information

NPI: 1942905831
Provider Name (Legal Business Name): MARGARET GRACE WALKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633D MEDICAL GROUP 77 NEALY AVE
HAMPTON VA
23665
US

IV. Provider business mailing address

633D MEDICAL GROUP 77 NEALY AVE
HAMPTON VA
23665
US

V. Phone/Fax

Practice location:
  • Phone: 757-764-6800
  • Fax:
Mailing address:
  • Phone: 757-764-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101289597
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: