Individual
WALTER LEE CLERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFA
Contact information
Practice address
1755 HIGHWAY 34 E STE 1100, NEWNAN, GA 30265-3184
(770) 252-7510
Mailing address
PO BOX 71117, NEWNAN, GA 30271-1117
(770) 254-1807
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
05/04/2018
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