SearchGeorgia310400000X

Antonio Walker

NPI 1437807195 · on the registry since 2022 · sole proprietor

Practice

Address
329 Norway Spruce Ct
Locust Grove, GA 30248
Phone
(770) 919-4997

Registry record

Primary taxonomy
310400000X
310400000X
Also registered as
172A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia