Individual
ANFERNEE JEROME WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
990 THOUSAND OAKS DR, LAWRENCEVILLE, GA 30043-3123
(470) 262-2848
Mailing address
990 THOUSAND OAKS DR, LAWRENCEVILLE, GA 30043-3123
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
5026
GA
246ZC0007X
Surgical Assistant
Primary
—
GA
Other
Enumeration date
10/14/2019
Last updated
02/27/2020
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