Individual
JOHN LEROY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
3688 CREEKSTONE DR, PEACHTREE CORNERS, GA 30092-2474
(678) 691-6529
(770) 840-7464
Mailing address
PO BOX 923821, NORCROSS, GA 30010-3821
(770) 985-4257
(770) 985-4258
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
08/20/2013
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