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Individual

BRUCE F WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1968 PEACHTREE RD NW, PATHOLOGY DEPT, ATLANTA, GA 30309
(800) 288-8325
(404) 609-6645
Mailing address
PO BOX 491028, LAWRENCEVILLE, GA 30049
(404) 605-3247
(404) 609-6645

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
029553
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00430163C
GA
Enumeration date
03/14/2006
Last updated
10/06/2022
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