Organization
WALKER LAKE INTENSIVIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S SCHILLINGER MD (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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