Individual
REGINA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3675 J DEWEY GRAY CIR STE 300, AUGUSTA, GA 30909-1868
(706) 863-9595
(706) 868-8375
Mailing address
PO BOX 3726, AUGUSTA, GA 30914-3726
(706) 863-9595
(706) 868-8375
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN210379
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN210379
GA LICENSE
GA
Enumeration date
08/31/2016
Last updated
05/06/2020
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