Individual
JEREMY WARREN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1400 RIVER PL, BRASELTON, GA 30517-5600
(770) 219-6000
(770) 848-1236
Mailing address
1400 RIVER PL, BRASELTON, GA 30517-5600
(770) 219-6000
(770) 848-1236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL1582
SC
208M00000X
Hospitalist Physician
Primary
073668
GA
Other
Enumeration date
06/12/2012
Last updated
10/13/2020
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