Individual
ANTONIO WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
329 NORWAY SPRUCE CT, LOCUST GROVE, GA 30248-2073
(770) 919-4997
Mailing address
4050 HIGHWAY 42 STE 312, LOCUST GROVE, GA 30248-4105
(404) 936-1251
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
GA
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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