Individual
TONYA WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MACKQUEEN DR, BRUNSWICK, GA 31525-4540
(912) 275-1697
Mailing address
111 MACKQUEEN DR, BRUNSWICK, GA 31525
(912) 275-1697
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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