Individual
DORIS AMELIA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 LYNWOOD LN, SPRINGFIELD, GA 31329-3907
(910) 330-1082
Mailing address
100 LYNWOOD LN, SPRINGFIELD, GA 31329-3907
(910) 330-1082
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
061993584
GA
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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