Individual
DR. KRISTINA FREEMAN WALTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
35 WIEUCA TRCE NE, ATLANTA, GA 30342-3856
(404) 252-6250
Mailing address
35 WIEUCA TRCE NE, ATLANTA, GA 30342-3856
(404) 252-6250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 001212
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA2212
EYEMED
GA
Enumeration date
03/06/2007
Last updated
07/08/2007
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