Individual
WESLEY W WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1623 MADISON AVE, TIFTON, GA 31794
(229) 386-1300
Mailing address
1623 MADISON AVE, TIFTON, GA 31794
(229) 386-1300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
45022
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00797838A
—
GA
Enumeration date
11/15/2006
Last updated
08/28/2024
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