Clinton Bernard Walker II
Driver in Augusta, GA. Individual provider (NPI-1).
NPI number1467242537
StatusActive
Last updated in NPPESMay 10, 2025
Details
- NPI
- 1467242537
- Entity type
- Individual (NPI-1)
- Name
- Mr. Clinton Bernard Walker II
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2025
- Certification date
- May 10, 2025
- Last updated
- May 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | 054945140 | GA | Yes |
Practice location
1308 Dominica DrAugusta, GA 30909-2612
Phone 404-719-0497
Mailing address
1308 Dominica DrAugusta, GA 30909-2612
Phone 404-719-0497
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Other Driver providers in Augusta, GA
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All 6 Driver providers in Augusta · All 8,576 providers in Augusta
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