Individual
DEREK BRIAN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(877) 312-1167
Mailing address
2766 OLD OCILLA ROAD, TIFTON, GA 31794
(229) 339-7190
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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