Provider Demographics
NPI:1366990418
Name:WALKER, CAMERON SR (PP)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:WALKER
Suffix:SR
Gender:M
Credentials:PP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 DEVON DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31721-7117
Mailing Address - Country:US
Mailing Address - Phone:229-499-2250
Mailing Address - Fax:
Practice Address - Street 1:1600 DEVON DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31721-7117
Practice Address - Country:US
Practice Address - Phone:229-499-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional