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NPI Code Detail

MEDICARE: DENISE I CUBERO-WALKER MD

MEDICARE: DENISE I CUBERO-WALKER MD
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
1207R00000XInternal Medicine Physician40132SC
2207R00000XInternal Medicine Physician055197GA

General Provider Information

NPI Number : 1679586879
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE I CUBERO-WALKER MD
Provider Business Mailing Address
First Line : PO BOX 6069
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29171-6069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 103 THOMPSON ST STE 200
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-2543
Country : US
Telephone Number : 803-796-7270
Fax Number : 803-796-0106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 06/25/2024

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Directions to “ DENISE I CUBERO-WALKER MD” Practice Location

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