Individual
EVELYN LUWANA WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 JACKSON CT, BYRON, GA 31008-7433
(147) 895-1865
Mailing address
71 JACKSON CT, BYRON, GA 31008-7433
(478) 951-8651
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN170172
GA
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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