Individual
DR. CHARLES ANDREW WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1502 E EVANS ST, BAINBRIDGE, GA 39819-4364
(229) 243-1700
(229) 246-9322
Mailing address
1502 E EVANS ST, BAINBRIDGE, GA 39819-4364
(229) 243-1700
(229) 246-9322
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
029816
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000422177B
—
GA
01
—
029816
MEDICAL LICENSE
GA
Enumeration date
05/04/2006
Last updated
05/28/2020
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