Individual
MR. BOBBY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 SWEET IVY LN, LAWRENCEVILLE, GA 30043-3068
(404) 606-7146
Mailing address
450 SWEET IVY LN, LAWRENCEVILLE, GA 30043-3068
(404) 606-7146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2009000557
GA
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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