Individual
DR. CAROLINE CARLOCK WELTLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1120 15TH ST # GC5110, AUGUSTA, GA 30912-0004
(404) 783-8065
Mailing address
6200 RIVERWOOD DR, ATLANTA, GA 30328-3737
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DN123195
GA
Other
Enumeration date
03/07/2023
Last updated
05/21/2024
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