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Individual

DR. JERRY LEE WALTERS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
718 CHEROKEE ST NE, MARIETTA, GA 30060-7253
(770) 291-8987
Mailing address
718 CHEROKEE ST NE, MARIETTA, GA 30060-7253
(770) 291-8987

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
85938
GA
2084N0400X
Neurology Physician
Primary
85938
GA

Other

Enumeration date
04/18/2013
Last updated
04/23/2026
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