Individual
KIMMESEE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 366-7027
Mailing address
4827 ACME DR, COLUMBUS, GA 31907-3505
(706) 366-7027
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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