Individual
ELIZABETH LATHROP WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8464 ADAIR ST, SUITE B, DOUGLASVILLE, GA 30134-1839
(770) 942-1044
Mailing address
6320 LAKEVIEW TER, DOUGLASVILLE, GA 30135-5914
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN186102
GA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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