Individual
MR. GARETH GENE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
514 COVINTON STREET, JACKSON, GA 30233
(619) 697-7808
(619) 749-5730
Mailing address
1615 MURRAY AVE, EL CAJON, CA 92020-5637
(619) 697-7808
(619) 749-5730
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
PCH006682
GA
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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