MEDICARE: CHERYL WALKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1184334260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL WALKER

Provider Business Mailing Address
First Line	:	5025 ERIN RD SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-7878
Country	:	US
Telephone Number	:	678-749-2082
Fax Number	:

Provider Business Practice Location Address
First Line	:	5025 ERIN RD SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-7878
Country	:	US
Telephone Number	:	678-749-2082
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2022
Last Update Date	:	11/30/2022

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Directions to “ CHERYL WALKER ” Practice Location

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