Individual
COURTNEY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COA
Contact information
Practice address
132 STANLEY CT STE M, LAWRENCEVILLE, GA 30046-9061
(470) 242-4733
(866) 398-5005
Mailing address
3475 MORGAN RD, BUFORD, GA 30519-5504
(470) 242-4733
(866) 398-5005
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
180309
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180309
COA
GA
Enumeration date
07/14/2020
Last updated
07/14/2020
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