Individual
FERIAL WALID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 WOODCREST BLVD, WARNER ROBINS, GA 31093-8824
(478) 922-6685
(478) 922-6686
Mailing address
4856 GUERRY DR, MACON, GA 31210-4104
(478) 471-0858
(478) 471-0858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055461
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163454222A
—
GA
05
—
163454222C
—
GA
01
—
511G700847
MEDICARE PTAN
—
Enumeration date
09/14/2006
Last updated
01/08/2009
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