Individual
ALA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1871 CHAMBLEE TUCKER RD, CHAMBLEE, GA 30341-2737
(770) 455-7110
Mailing address
4011 NE MILLER BOTTOM RD, LOGANVILLE, GA 30052-4710
(678) 308-8298
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002493
GA
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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