Doctor Name: | NATHANIEL WALKER |
NPI Number: | 1033446208 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS PP |
License Number: | |
Business Practice Address: | 940 Ga Highway 96 Warner Robins, GA - 310882584 |
Business Phone Number: | 4789881222 |
Business Fax Number: | 4789881050 |
Mailing Address: | 940 Ga Hightway 96, WARNER ROBINS |
State: | GA |
Postal Code: | 310882584 |
Phone Number: | 4789881222 |
Fax Number: | 4789881050 |
NPI Enumeration Date: | 11/10/2009 |
NPI Last Update Date: | 11/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |