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Individual

MRS. COURTNEY BENNETT WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
130 N GROSS RD STE 201, KINGSLAND, GA 31548-6277
(912) 729-2795
Mailing address
308 LONG POINT CIR, SAINT MARYS, GA 31558-4384
(904) 699-8268

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9281279
FL
163WC0200X
Critical Care Medicine Registered Nurse
313498
GA
363LF0000X
Family Nurse Practitioner
Primary
313498
GA

Other

Enumeration date
12/07/2015
Last updated
07/27/2022
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