NPI age
15 years
Enumerated 2011-05-04
● Active
Type 1 · Individual
Raven Ifoma Elosiebo-Walker, M.D.
Elosiebo-Walker is 1 of 5 dermatology providers in Tucker and 1 of 483 in Georgia.
Primary specialty
Dermatology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 483 active dermatology providers in Georgia.
NPI age
15 years
↓ 3 yr below median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-05Enumerated in NPPES
2011
2026
Where they practice
Practice location
1462 Montreal Rd Ste 411
Tucker, GA 300846932
Mailing address
2505 Harrison Ave
Panama City, FL 324054464
Specialties
-
Dermatology PrimaryA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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