Provider Demographics
NPI:1558818013
Name:WALKER, WHITNEY RENA (CPCT)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:RENA
Last Name:WALKER
Suffix:
Gender:F
Credentials:CPCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:778 COOKS HILL RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:GA
Mailing Address - Zip Code:30650-1949
Mailing Address - Country:US
Mailing Address - Phone:706-818-5586
Mailing Address - Fax:
Practice Address - Street 1:778 COOKS HILL RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:GA
Practice Address - Zip Code:30650
Practice Address - Country:US
Practice Address - Phone:706-818-5586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAM4P8H7N83747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant