Individual
MONIQUE VELIA WALCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
677 CHURCH ST NE # 111, MARIETTA, GA 30060-1101
(770) 793-7750
Mailing address
PO BOX 44008, UFJP MEDICINE DEPT., JACKSONVILLE, FL 32231-4008
(904) 244-8846
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
059787
GA
207R00000X
Internal Medicine Physician
ME97422
FL
208M00000X
Hospitalist Physician
Primary
059787
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2770440-00
—
FL
05
—
609999872A
—
GA
Enumeration date
11/21/2006
Last updated
02/20/2019
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