Individual
REGINA E WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
269 RIDGECREST CIRCLE SUITE 109, CLAYTON, GA 30525
(706) 782-7040
(706) 782-3123
Mailing address
269 RIDGECREST CIR, CLAYTON, GA 30525-4109
(706) 782-7090
(706) 782-3123
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
091762
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000903031
—
GA
Enumeration date
05/05/2006
Last updated
07/08/2007
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