Individual
MRS. KISHMA A WALKER-MULLIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 FOURWOOD CT, COVINGTON, GA 30016-7838
(678) 923-6967
Mailing address
25 FOURWOOD CT, COVINGTON, GA 30016-7838
(678) 923-6967
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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