Individual
DR. TRAVELYAN MARCEL WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1404 RIVER PL STE 201, BRASELTON, GA 30517-5600
(770) 219-9200
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
40509
SC
208600000X
Surgery Physician
Primary
69999
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405092
—
SC
Enumeration date
07/28/2008
Last updated
12/08/2020
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