Walker, Stormy B

Walker, Stormy B is an individual health care provider with primary practice located at 3240 Sunset Blvd , West Columbia SC 29169-3428. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Walker, Stormy B can be contacted via phone (803) 359-8855.

Contact Information

Primary practice address
3240 Sunset Blvd West Columbia SC 29169-3428
Fax: (803) 794-6480
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 21916 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 21916 South Carolina

Profile Details

NPI number 1962994160
LBN Legal business name Walker, Stormy B
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2018
Last updated Apr 19th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962994160 NPPES
South Carolina MEDICAID NP5283

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