Individual
HENRY WALKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
101 KINGSLEY DR N, GUYTON, GA 31312-5353
(912) 396-1276
Mailing address
101 KINGSLEY DR N, GUYTON, GA 31312-5353
(912) 396-1276
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PHCP010393
GA
Other
Enumeration date
07/21/2019
Last updated
07/21/2019
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