Provider Demographics
NPI:1891299970
Name:WALKER, ZACH (DC,DACNB)
Entity Type:Individual
Prefix:
First Name:ZACH
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:DC,DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2131 LAKE PARK DR SE APT D
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-7668
Mailing Address - Country:US
Mailing Address - Phone:423-298-7288
Mailing Address - Fax:
Practice Address - Street 1:6715 US-41
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736
Practice Address - Country:US
Practice Address - Phone:423-298-7288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO10022111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology