Individual
MS. NINA MARIE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 E WEST CONNECTOR, STE. 340, AUSTELL, GA 30106-8513
(678) 259-9298
Mailing address
4255 LAUREL CREEK CT SE, SMYRNA, GA 30080-6591
(678) 770-4532
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
OCC007731
GA
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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