Walker Lake Physician Services, PC
Hospitalist in Conyers, GA. Organization (NPI-2).
NPI number1003385964
StatusActive
Last updated in NPPESNov 20, 2018
Details
- NPI
- 1003385964
- Entity type
- Organization (NPI-2)
- Legal business name
- Walker Lake Physician Services, PC
- Organization subpart
- No
- Enumeration date
- Nov 20, 2018
- Last updated
- Nov 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | – | – | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
1412 Milstead Ave NeConyers, GA 30012-3877
Phone 770-918-3000
Mailing address
200 Corporate BlvdLafayette, LA 70508-3870
Phone 800-893-9698
Authorized official
David S Schillinger
President
8008939698
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All 7 Hospitalist Physician providers in Conyers · All 2,198 providers in Conyers
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