Individual
MR. DUSTIN A WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
804 13TH AVE, ALBANY, GA 31701-1328
(229) 438-5864
(229) 438-1004
Mailing address
194 WINIFRED RD, LEESBURG, GA 31763-4608
(229) 869-5841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1473
GA
Other
Enumeration date
10/16/2006
Last updated
01/05/2011
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