Provider Demographics
NPI:1205222049
Name:WALKER, CATHERINE VALERIE
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:VALERIE
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2791 KNOLLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-3212
Mailing Address - Country:US
Mailing Address - Phone:336-614-5589
Mailing Address - Fax:
Practice Address - Street 1:2791 KNOLLVIEW DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-3212
Practice Address - Country:US
Practice Address - Phone:336-614-5589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula