Organization
WALKER HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA PENNINGTON CTRS (OFFICE MANAGER)
(912) 681-3838
Entity
Organization
Contact information
Practice address
100 BRAMPTON AVE, STE 1F, STATESBORO, GA 30458-0827
(912) 681-3838
(912) 681-3839
Mailing address
100 BRAMPTON AVE, STE 1F, STATESBORO, GA 30458-0827
(912) 681-3838
(912) 681-3839
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHRE008665
GA
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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