MEDICARE: MS. JULIET M WALKER P.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	363A00000X	Physician Assistant	6124	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891939138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIET M WALKER P.A.

Provider Business Mailing Address
First Line	:	1538 13TH AVE STE B300
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-2563
Country	:	US
Telephone Number	:	706-321-9300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1538 13TH AVE STE B300
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-2563
Country	:	US
Telephone Number	:	706-321-9300
Fax Number	:

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

Provider Enumeration Date	:	04/30/2009
Last Update Date	:	09/17/2019

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