Individual
DR. WALKER S HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-4000
Mailing address
5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328-5831
(770) 874-5400
(770) 874-5469
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
040687
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00718099G
—
GA
05
—
00718099H
—
GA
05
—
00718099I
—
GA
05
—
00718099J
—
GA
Enumeration date
08/19/2006
Last updated
07/09/2007
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