Individual
DR. WALTER HILL LEVIE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 E VILLANOW ST, LA FAYETTE, GA 30728-2520
(706) 638-2784
(706) 638-7428
Mailing address
201 E VILLANOW ST, P.O. BOX 1725, LA FAYETTE, GA 30728-2520
(706) 638-2784
(706) 638-7428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009449
GA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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