Provider Demographics
NPI:1558921973
Name:WALKER, ANNA NIELSEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:NIELSEN
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:MERCER UNIVERSITY SCHOOL OF MEDICINE DEPT OF PATHOLOGY
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31207-0001
Mailing Address - Country:US
Mailing Address - Phone:478-301-4071
Mailing Address - Fax:478-301-5489
Practice Address - Street 1:MERCER UNIVERSITY SCHOOL OF MEDICINE DEPT OF PATHOLOGY
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31207-0001
Practice Address - Country:US
Practice Address - Phone:478-301-4071
Practice Address - Fax:478-301-5489
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA24117207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology