MEDICARE: JAMES H WALKER III M.D.

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	207Q00000X	Family Medicine Physician	10957	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080006182	OTHER	SC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871533505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES H WALKER III M.D.

Provider Business Mailing Address
First Line	:	PO BOX 450
Second Line	:
City	:	SANDY SPRINGS
State	:	SC
Zip	:	29677-0450
Country	:	US
Telephone Number	:	864-261-9100
Fax Number	:	864-261-9102

Provider Business Practice Location Address
First Line	:	5304 HIGHWAY 76
Second Line	:
City	:	PENDLETON
State	:	SC
Zip	:	29670-9139
Country	:	US
Telephone Number	:	864-261-9100
Fax Number	:	864-261-9102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	06/17/2008

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