Walker, Tara T
Walker, Tara T is an individual health care provider with primary practice located at 106 Highland Way Ste 200 , Madison MS 39110-6933. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Walker, Tara T can be contacted via phone (601) 200-4141.Contact Information
Primary practice address
106 Highland Way Ste 200
Madison MS 39110-6933
Phone: (601) 200-4141
Fax: (601) 200-4150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00514 | Mississippi |
Profile Details
| NPI number | 1730798950 |
|---|---|
| LBN Legal business name | Walker, Tara T |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2020 |
| Last updated | Jul 7th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730798950 | NPPES |
| Mississippi | MEDICAID | 06934765 | |
| Mississippi | Other | PA00514 | |
| Mississippi | Other | 1K0604 |
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