Individual
PAUL LANCE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1810 WHITE CIR, SUITE 155, MARIETTA, GA 30066-5835
(877) 613-1990
Mailing address
1810 WHITE CIR, SUITE 155, MARIETTA, GA 30066-5835
(877) 613-1990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046272
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000804218E
—
GA
Enumeration date
10/06/2006
Last updated
09/21/2011
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