Individual
CHARQUINTA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LNMT
Contact information
Practice address
2321 ROLLING ROCK DR, CONLEY, GA 30288-1464
(404) 333-7657
Mailing address
3863 HIGHWAY 138 SE STE 1080, STOCKBRIDGE, GA 30281-4143
(404) 913-6924
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT010210
GA
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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