Individual
MRS. TIFFANY KAY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
300 RIDGELAND DR, VALDOSTA, GA 31602-7846
(229) 241-1146
Mailing address
300 RIDGELAND DR, VALDOSTA, GA 31602-7846
(229) 241-1146
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002772
GA
Other
Enumeration date
10/13/2012
Last updated
10/13/2012
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