Individual
WIZELY CLAUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2950 STONE HOGAN CONNECTOR RD SW, BUILDING 3 SUITE A, ATLANTA, GA 30331-2837
(404) 349-5100
(404) 349-3705
Mailing address
900 CIRCLE 75 PKWY., SUITE 900, ATLANTA, GA 30339-3084
(678) 426-2171
(404) 446-1957
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001316
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
R83410
NY
Other
Enumeration date
05/19/2014
Last updated
02/02/2017
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