Healthcare Provider Details

I. General information

NPI: 1861316572
Provider Name (Legal Business Name): MOTHERNURTURE MATERNITY ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 OLDE TOWNE PKWY STE 303
MARIETTA GA
30068-5644
US

IV. Provider business mailing address

4550 BRYN MAWR CIR NW
ATLANTA GA
30327-3519
US

V. Phone/Fax

Practice location:
  • Phone: 404-908-7565
  • Fax:
Mailing address:
  • Phone: 404-908-7565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TAMEEKA LAW WALKER
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 404-908-7565