Provider Demographics
NPI:1902233976
Name:WALKER, JOSHUA STEVEN
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:STEVEN
Last Name:WALKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 PINE ST APT C
Mailing Address - Street 2:
Mailing Address - City:FORT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905-6211
Mailing Address - Country:US
Mailing Address - Phone:912-396-1147
Mailing Address - Fax:
Practice Address - Street 1:2108 PINE ST APT C
Practice Address - Street 2:
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905-6211
Practice Address - Country:US
Practice Address - Phone:912-396-1147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other