Individual
DR. MARK LAMONT WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
777 CLEVELAND AVE SW, SUITE 305, ATLANTA, GA 30315-7129
(404) 761-7482
(404) 761-8398
Mailing address
777 CLEVELAND AVE SW, SUITE 305, ATLANTA, GA 30315-7129
(404) 761-7482
(404) 761-8398
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
026953
GA
2086S0102X
Surgical Critical Care Physician
026953
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000298284E
—
GA
Enumeration date
06/09/2006
Last updated
03/26/2015
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