MEDICARE: DR. WILLIAM O. WALKER DC

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	111N00000X	Chiropractor	1346	GA

General Provider Information

NPI Number	:	1790807915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM O. WALKER DC

Provider Business Mailing Address
First Line	:	2797 CAMPBELLTON RD SW
Second Line	:	B-3
City	:	ATLANTA
State	:	GA
Zip	:	30311-4455
Country	:	US
Telephone Number	:	404-346-7093
Fax Number	:	404-346-1010

Provider Business Practice Location Address
First Line	:	2797 CAMPBELLTON RD SW
Second Line	:	B-3
City	:	ATLANTA
State	:	GA
Zip	:	30311-4455
Country	:	US
Telephone Number	:	404-346-7093
Fax Number	:	404-346-1010

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	07/08/2007

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