Individual
DR. GARY K WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 765-4865
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(478) 765-4865
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
023698
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000270553A
—
GA
01
—
26391
BCBS
GA
01
—
345262
WELLCARE
GA
01
—
581267100
TRICARE
GA
Enumeration date
01/13/2006
Last updated
05/29/2015
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