Provider Demographics
NPI:1952005654
Name:WALKER, ASHTON YOUNG
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:YOUNG
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 SAINT AUGUSTINE BND
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-1123
Mailing Address - Country:US
Mailing Address - Phone:912-547-4702
Mailing Address - Fax:
Practice Address - Street 1:1190 KING GEORGE BLVD STE B1
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-8992
Practice Address - Country:US
Practice Address - Phone:912-921-0401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN123330208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice