| Doctor Name: | DR. JANICA EVELYN WALDEN |
| NPI Number: | 1013060904 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 001669 |
| Business Practice Address: | 462 Deerfield Dr Baxley, GA - 315137751 |
| Business Phone Number: | 8885455551 |
| Business Fax Number: | 8666162506 |
| Mailing Address: | 462 Deerfield Dr, BAXLEY |
| State: | GA |
| Postal Code: | 315137751 |
| Phone Number: | 8885455551 |
| Fax Number: | 8666162506 |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 06/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 001669 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |