Individual
ZACHARY WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(770) 874-5400
Mailing address
5665 NEW NORTHSIDE DR, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-6907
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN213848
GA
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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