Individual
DR. WILLIAM WESLEY CLANCE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 N LEWIS ST, METTER, GA 30439-3757
(912) 685-2100
(912) 685-6915
Mailing address
PO BOX 718, METTER, GA 30439-0718
(912) 685-2100
(912) 685-6915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
GA9149
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA9149
STATE LICENSE NUMBER
GA
Enumeration date
02/06/2007
Last updated
07/08/2007
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