Organization
SURGICAL HEALTH COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LAMONT WALKER M.D. (MEDICAL DIRECTOR)
(404) 761-7482
Entity
Organization
Contact information
Practice address
777 CLEVELAND AVE SW, SUITE 305, ATLANTA, GA 30315-7129
(404) 761-7482
Mailing address
777 CLEVELAND AVE SW, SUITE 305, ATLANTA, GA 30315-7129
(404) 761-7482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
026953
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000298284E
—
GA
Enumeration date
11/30/2010
Last updated
11/30/2010
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