Individual
MRS. TARA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
CENTRAL STATE HOSPITAL 2450 VINSON HWY, MILLEDGEVILLE, GA 31062-0001
(478) 445-4128
Mailing address
1099 COUNCIL MCCRANIE RD, MILLEDGEVILLE, GA 31061-6945
(478) 456-8550
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN201720
GA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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