Individual
DR. PAUL ANDREW WALTERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3643 WALTON WAY EXT, AUGUSTA, GA 30909-4507
(706) 729-9595
(706) 729-0332
Mailing address
3333 WALTON WAY, AUGUSTA, GA 30909-4529
(706) 729-9595
(706) 729-0332
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002120
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000819816A
—
GA
Enumeration date
08/29/2005
Last updated
11/08/2011
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