Walker Health And Wellness LLC
Clinic/Center, Primary Care in Bloomingdale, GA. Organization (NPI-2).
NPI number1639788136
StatusActive
Last updated in NPPESJul 30, 2020
Details
- NPI
- 1639788136
- Entity type
- Organization (NPI-2)
- Legal business name
- Walker Health And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2020
- Certification date
- Jul 30, 2020
- Last updated
- Jul 30, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
111 Bradford DrBloomingdale, GA 31302-4926
Phone 614-679-6042
Mailing address
111 Bradford DrBloomingdale, GA 31302-4926
Authorized official
Tasha Walker
Fnp
6146796042
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