Search › Georgia › 367500000X
Jacob Walker, CRNA
NPI 1578397055 · on the registry since 2024 · sole proprietor
Practice
- Address
- 901 18th St E
Tifton, GA 31794 - Phone
- (229) 382-7120
- Fax
- (229) 391-4059
- Organisation at this address
- Tifton Radiology Pc
Southwell Ambulatory Inc
Tift Regional Medical Center
South Georgia Vascular Clinic
Tift Regional Health System IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 170
Additional practice sites
- 260 Mj Taylor Rd, Adel, GA
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-28
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