Wesley W Walker Md Llc

LBN: Wesley W Walker Md Llc
Wesley W Walker Md Llc is an health care organization with primary practice located at 1623 Madison Ave , Tifton GA 31794-3757. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Wesley W Walker Md Llc can be contacted via phone (229) 386-1300, or through Walker, Wesley W via phone (229) 386-1300.

Contact Information

Primary practice address
1623 Madison Ave Tifton GA 31794-3757
Phone: (229) 386-1300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker, Wesley W Doctor of Medicine (MD)
Phone: (229) 386-1300

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 045022 Georgia

Profile Details

NPI number 1447521281
LBN Legal business name Wesley W Walker Md Llc
DBA Doing business as
Authorized official Walker, Wesley W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2012
Last updated Jan 25th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447521281 NPPES
Georgia MEDICAID 00797838A

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