Individual
JONATHAN LUTHER WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4083 CLOUD SPRINGS RD, RINGGOLD, GA 30736-8411
(800) 805-6989
Mailing address
4083 CLOUD SPRINGS RD, RINGGOLD, GA 30736-8411
(800) 805-6989
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
93931
TN
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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