Individual
DR. CHARLES OSBORNE WALKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 N WILEY AVE, DONALSONVILLE, GA 39845-1120
(229) 524-2706
(229) 524-2738
Mailing address
804 N WILEY AVE, DONALSONVILLE, GA 39845-1120
(229) 524-2706
(229) 524-2738
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9288
GA
208600000X
Surgery Physician
Primary
009288
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000019324B
—
GA
01
—
20-5308117
THE WIREGRASS MEDICAL & S
GA
01
—
581365608
CHARLES O WALKER MD PC
GA
Enumeration date
06/30/2005
Last updated
10/06/2009
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