Individual
BERNADETTE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(770) 638-1400
Mailing address
1468 MONTREAL RD, TUCKER, GA 30084-6901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN285222
GA
Other
Enumeration date
06/13/2025
Last updated
06/19/2025
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