Individual
BENJAMIN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 383-5623
Mailing address
1101 OCILLA RD, PO BOX 1287, DOUGLAS, GA 31533-2207
(912) 383-5623
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3343482
FL
363L00000X
Nurse Practitioner
Primary
RN141132
GA
Other
Enumeration date
01/20/2006
Last updated
08/17/2016
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