Individual
MS. KIM NMN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-8020
Mailing address
418 HOLMES POND RD, JOHNSTON, SC 29832-2688
(803) 275-0933
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
611
SC
Other
Enumeration date
08/22/2007
Last updated
10/03/2013
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