DR. MARIE LOUISE WALTON (NPI# 1962061226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962061226 |
| Entity Type | Individual |
| Full Name | DR. MARIE LOUISE WALTON |
| Other Name | DR. MARIE LOUISE PEHNA |
| Credential | MD, MPH |
| Practice Address |
113 Upper Riverdale Rd Sw Riverdale GA 30274-2540 |
| Mailing Address |
3352 Glen Devon Ln Berkeley Lake GA 30096-6195 |
| Practice Telephone | 6784303232 |
| Practice Fax Number | 6783210022 |
| Mailing Telephone | 4046427721 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1100X |
Clinic/Center Specialization: Research |
47677 | GA | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Johnson Ferry Rd Ste 420, Atlanta, GA 303421743 | 4048519934 | 4048519458 |
| Street Address |
113 UPPER RIVERDALE RD SW |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 261QR1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Research |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813381 | Rare Disease Research, LLC | Clinic/Center | 1891 Howell Mill Rd Nw Ste B, Atlanta, GA 30318-2512 | 2020-08-25 |
| 1629699160 | Integrity Business Management, LLC | Clinic/Center | 3796 Satellite Blvd Ste 201, Duluth, GA 30096-5698 | 2020-05-06 |
| 1104204718 | Wisemen Clinical Research Group, LLC | Clinic/Center | 3300 Memorial Dr, Suite D-1, Decatur, GA 30032-2700 | 2015-05-14 |
| 1073933867 | Georgia Clinical Research, LLC | Clinic/Center | 2121 Fountain Dr Ste A, Snellville, GA 30078-2900 | 2014-04-21 |
| 1942555461 | Guardian Research Group, Inc. | Clinic/Center | 6400 Bradley Park Dr, Suite A, Columbus, GA 31904-3615 | 2012-07-20 |
| 1750652863 | In-quest Medical Research, LLC | Clinic/Center | 6330 Primrose Hill Ct, Suite 208, Norcross, GA 30092-4544 | 2012-01-20 |
Please comment or provide details below to improve the information on DR. MARIE LOUISE WALTON.
| 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.