MEDICARE: MONICA WALKER MA- CCC,A

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	237600000X	Audiologist-Hearing Aid Fitter	001674	GA

General Provider Information

NPI Number	:	1437217965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA WALKER MA- CCC,A

Provider Business Mailing Address
First Line	:	5252 ROSWELL RD STE 101
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30342-1969
Country	:	US
Telephone Number	:	404-777-5252
Fax Number	:

Provider Business Practice Location Address
First Line	:	5252 ROSWELL RD STE 101
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30342-1969
Country	:	US
Telephone Number	:	404-777-5252
Fax Number	:

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	08/02/2020

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