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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JERRY DON WALKUP JR., M.D.

Active Sole Proprietor

DR. JERRY DON WALKUP JR., M.D. is a Pediatric Cardiology healthcare provider located in JOHNSON CITY, Tennessee. NPI 1578856985 is currently active in the NPPES registry. Verify at CMS.

Pediatric Cardiology · JOHNSON CITY, TN

Registration Details

NPI Number
1578856985
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2011 (15.204341243454 yrs)
Last Updated
Jul 17, 2024
License
0101256238 (VA)
Sole Proprietor
Yes

Practice Information

Address
2312 KNOB CREEK RD STE 208
JOHNSON CITY, TN, 376042367
Browse TN providers · Browse ZIP 37604
Phone
4236101099
Fax
4232464300
Primary Specialty
Pediatric Cardiology
2080P0202X

Other Pediatric Cardiology Providers in JOHNSON CITY, TN

Name Credential NPI
RAJANI ANAND M.D. 1821081134
DR. OTTO H.P. TEIXEIRA MD 1831184266
DR. ASHISH B MADHOK MD 1376533489
ASHOK V MEHTA MD 1477515880
MRS. LACY HICKS CPNP 1396465621
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.