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Individual

DR. FORREST BLAKE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-5000
Mailing address
1125 TROUPE ST, AUGUSTA, GA 30904-4480
(706) 737-4575
(706) 731-5289

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
061014
GA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
061014
GA
2085N0700X
Neuroradiology Physician
061014
GA
2085N0904X
Nuclear Radiology Physician
061014
GA
2085P0229X
Pediatric Radiology Physician
061014
GA
2085R0202X
Diagnostic Radiology Physician
061014
GA
2085R0202X
Diagnostic Radiology Physician
Primary
36188
AZ
2085R0204X
Vascular & Interventional Radiology Physician
061014
GA
2085U0001X
Diagnostic Ultrasound Physician
061014
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
212032
AZ
01
P00431756
RAILROAD MEDICARE
AZ
Enumeration date
04/10/2007
Last updated
10/31/2013
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