Individual
WALTER M. LONERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
775 POPLAR RD, SUITE 120, NEWNAN, GA 30265-8300
(770) 400-4510
(678) 423-2737
Mailing address
775 POPLAR RD, SUITE 120, NEWNAN, GA 30265-8300
(770) 400-4510
(678) 423-2737
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
027401
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00401926A
—
GA
Enumeration date
11/29/2005
Last updated
06/14/2013
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