Walker, Mark Lamont

Walker, Mark Lamont is an sole proprietor health care provider with primary practice located at 777 Cleveland Ave Sw Suite 305, Atlanta GA 30315-7129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Walker, Mark Lamont can be contacted via phone (404) 761-7482.

Contact Information

Primary practice address
777 Cleveland Ave Sw Suite 305 Atlanta GA 30315-7129
Phone: (404) 761-7482
Fax: (404) 761-8398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 026953 Georgia
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 026953 Georgia

Profile Details

NPI number 1356382345
LBN Legal business name Walker, Mark Lamont
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Mar 26th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356382345 NPPES
Georgia MEDICAID 000298284E

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