Individual
DR. MARIE LOUISE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
113 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2540
(678) 430-3232
(678) 321-0022
Mailing address
3352 GLEN DEVON LN, BERKELEY LAKE, GA 30096-6195
(404) 642-7721
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
47677
GA
Other
Enumeration date
06/11/2019
Last updated
05/11/2021
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