MEDICARE: DR. WENDY RENEE WALKER 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	207R00000X	Internal Medicine Physician	23474	AL
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	23474	AL

General Provider Information

NPI Number	:	1992891345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENDY RENEE WALKER M.D.

Provider Business Mailing Address
First Line	:	1981 CAHABA CV
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-1823
Country	:	US
Telephone Number	:	205-542-2713
Fax Number	:	256-281-6196

Provider Business Practice Location Address
First Line	:	181 W VALLEY AVE STE 214
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-3691
Country	:	US
Telephone Number	:	205-732-3743
Fax Number	:

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	12/20/2024

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