Organization
BEVERLY D WALKER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY DIANNE WALKER MD (OWNER)
(229) 883-0537
Entity
Organization
Contact information
Practice address
311 W 2ND AVE, ALBANY, GA 31701-2369
(229) 883-0537
(229) 883-8831
Mailing address
311 W 2ND AVE, ALBANY, GA 31701-2369
(229) 883-0537
(229) 883-8831
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
020395
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000178681A
—
GA
Enumeration date
02/03/2012
Last updated
02/03/2012
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