Healthcare Provider Details

I. General information

NPI: 1740176320
Provider Name (Legal Business Name): LONDYN ROBINSON WALKER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2412 N OAK ST
VALDOSTA GA
31602-2567
US

IV. Provider business mailing address

2412 N OAK ST
VALDOSTA GA
31602-2567
US

V. Phone/Fax

Practice location:
  • Phone: 229-244-1400
  • Fax: 229-244-5512
Mailing address:
  • Phone: 229-244-1400
  • Fax: 229-244-5512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: