Healthcare Provider Details

I. General information

NPI: 1053525600
Provider Name (Legal Business Name): DAWN P WALKER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWNCHERRIE PICKETT MD

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 03/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2421 CHAMBERLAYNE AVE
RICHMOND VA
23222-4205
US

IV. Provider business mailing address

2421 CHAMBERLAYNE AVE
RICHMOND VA
23222-4205
US

V. Phone/Fax

Practice location:
  • Phone: 804-329-8510
  • Fax: 804-329-2160
Mailing address:
  • Phone: 804-329-8510
  • Fax: 804-329-2160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101245539
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: