Individual
DELASHA WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 SHARTOM DR, AUGUSTA, GA 30907-4748
(706) 461-1118
Mailing address
531 AIKEN ST, AUGUSTA, GA 30901-2083
(706) 461-1118
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO125957
GA
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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