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General NPI Number Information
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NPI Number | 1457362568
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Entity Type | Organization
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Legal Business Name | WALKER FAMILY HEALTHCARE, LLC
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 1019 KEITH DR
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City | PERRY
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State | GA
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Zip | 31069-4951
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Country | US
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Telephone | 478-988-8556
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Fax | 478-988-9071
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Provider Business Mailing Address
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Address Line | 1019 KEITH DR SUITE A
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City | PERRY
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State | GA
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Zip | 31069-4951
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Country | US
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Telephone | 478-988-8556
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Fax | 478-988-9071
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Authorized Official
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Title or Position | OWNER
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Name | JAMES T WALKER
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Credential | DO
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Telephone | 478-988-8556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 032834
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License Number State | GA
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