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Individual

DR. BEVERLY DIANNE WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
311 W 2ND AVE, ALBANY, GA 31701-2369
(229) 883-0537
(229) 883-8831
Mailing address
311 W 2ND AVE, PO BOX 70369, ALBANY, GA 31701-2369
(229) 883-0537
(229) 883-8831

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
20395
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00178681A
GA
01
20395
MEDICAL LICENSE NO
GA
Enumeration date
04/19/2006
Last updated
03/07/2023
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