Individual
REBECCA WALKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
250 BRAY ST, ATHENS, GA 30601-2203
(706) 389-6789
Mailing address
482 CEDAR RIDGE DR, WINDER, GA 30680-3491
(678) 372-0462
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN091476
GA
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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