Healthcare Provider Details

I. General information

NPI: 1134149313
Provider Name (Legal Business Name): JAMES L WALKER N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380A CEDAR ST
METTER GA
30439-4042
US

IV. Provider business mailing address

460 MALL BLVD STE B
SAVANNAH GA
31406-4891
US

V. Phone/Fax

Practice location:
  • Phone: 912-644-5300
  • Fax:
Mailing address:
  • Phone: 912-644-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR094080
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: