Provider Demographics
NPI:1275317257
Name:WALKER, PAUL RUFUS II
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:RUFUS
Last Name:WALKER
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5617 PRINCETON AVE STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-3483
Mailing Address - Country:US
Mailing Address - Phone:706-257-7723
Mailing Address - Fax:
Practice Address - Street 1:5617 PRINCETON AVE STE B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3483
Practice Address - Country:US
Practice Address - Phone:706-257-7723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)