MR. BOBBY WALKER


Address: 450 Sweet Ivy Ln, Lawrenceville, GA 30043-3068
Phone: 4046067146

MR. BOBBY WALKER (NPI# 1508005141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508005141
Entity Type Individual
Full Name MR. BOBBY WALKER
Practice Address 450 Sweet Ivy Ln
Lawrenceville
GA 30043-3068
Practice Telephone 4046067146
Mailing Telephone 4046067146
Enumeration Date 2009-02-05
Last Update Date 2009-02-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 2009000557 GA Other Service Providers

Office Location

Street Address 450 SWEET IVY LN
City LAWRENCEVILLE
State GA
Zip Code 30043-3068

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1932611688 Asfc Outreach Therapeutic Counseling Services, LLC Counselor 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 2017-11-02
1518486810 Shira Brey Williams Specialist/Technologist 1030 Collins Hill Rd, Lawrenceville, GA 30043 2017-09-18
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184048209 Daniel Long Specialist 233 Moorland Way, Lawrenceville, GA 30043 2014-02-10
1396188876 East Metro Primary Care Specialist 325 Lester Rd Nw, Suite C, Lawrenceville, GA 30044-4024 2013-04-15
1861710998 Georgia Quality Kidney Care, LLC Specialist 170 Camden Hill Road, Suite F, Lawrenceville, GA 30046 2010-05-13
1023265873 Accurate Medical Diagnostics, LLC Specialist 1498 Dulwich Ct, Lawrenceville, GA 30043-7535 2008-08-23
1265604896 Gwinnett Sportherapy Specialist 965 Oakland Rd Ste 2c, Lawrenceville, GA 30044-3758 2008-03-24
1437270923 Crelvis, Inc. Specialist 271-a S Culver St, Lawrenceville, GA 30045-4805 2007-04-02
1982747465 Dana Lynn Prater Specialist 386 Windsor Farms Dr, Lawrenceville, GA 30045-6068 2007-02-15
1083770655 John Martin Tilley Specialist 801 Bolling Cv, Lawrenceville, GA 30045-2430 2006-12-28
1265509376 Jennie Nichole Stokes Specialist 1688 Lawrenceville Hwy, Lawrenceville, GA 30044-4608 2006-11-30
1154498566 Edfirst Medical Center Specialist 336 Valley Rd, Lawrenceville, GA 30044-4167 2006-11-29
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Competitor

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City LAWRENCEVILLE
Zip Code 30043

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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