Individual
MR. COLBY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
125 SAMARITAN DR, CUMMING, GA 30040-2354
(770) 889-0120
Mailing address
2379 MISTY IVY CT, BUFORD, GA 30519-5497
(239) 850-8455
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004195
GA
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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