Walker, Beverly Dianne
Walker, Beverly Dianne is an sole proprietor health care provider with primary practice located at 311 W 2Nd Ave , Albany GA 31701-2369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Walker, Beverly Dianne can be contacted via phone (229) 883-0537.Contact Information
Primary practice address
311 W 2Nd Ave
Albany GA 31701-2369
Phone: (229) 883-0537
Fax: (229) 883-8831
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 20395 | Georgia |
Profile Details
NPI number | 1629033899 |
---|---|
LBN Legal business name | Walker, Beverly Dianne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 19th, 2006 |
Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629033899 | NPPES |
Georgia | MEDICAID | 00178681A | |
Georgia | Other | 20395 |
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