Individual
VICKIE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 WALTON WAY APT 913, AUGUSTA, GA 30901-2663
(706) 267-9040
Mailing address
1425 WALTON WAY APT 913, AUGUSTA, GA 30901-2663
(706) 267-9040
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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