MEDICARE: WALKER CARDIOLOGY ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1396020061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALKER CARDIOLOGY ASSOCIATES

Provider Business Mailing Address
First Line	:	3201 4TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35222-1723
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3201 4TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35222-1723
Country	:	US
Telephone Number	:	205-715-5943
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	GEORGE SCOTT FENN
Credential	:
Telephone Number	:	205-715-5415

Provider Enumeration Date	:	10/13/2011
Last Update Date	:	10/13/2011

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