Individual
TYNA MARIE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
255 E PACES FERRY RD NE, ATLANTA, GA 30305-2233
(858) 244-1811
Mailing address
255 E PACES FERRY RD NE, ATLANTA, GA 30305-2233
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2016004556
MO
163W00000X
Registered Nurse
869486
NY
163W00000X
Registered Nurse
95298206
CA
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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