| NPI | 1821516055 |
|---|---|
| Doing Business As | CHARLES A. WALKER, MD |
| Entity Type | Organization |
| Authorized Contact | KAREN FAIRCLOTH CFO 229-246-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |