Organization
WALKER HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSI PENNINGTON (OFFICE MANAGER)
(912) 681-3838
Entity
Organization
Contact information
Practice address
206 NORTHSIDE DR W, STE 1, STATESBORO, GA 30458-4689
(912) 681-3838
Mailing address
206 NORTHSIDE DR W, STE 1, STATESBORO, GA 30458-4689
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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