Individual
MR. CLYDE LUIS MCTIER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP-FNP
Contact information
Practice address
2922 PROFESSIONAL PKWY, AUGUSTA, GA 30907-6528
(706) 855-2767
(706) 855-7077
Mailing address
2922 PROFESSIONAL PKWY, AUGUSTA, GA 30907-6528
(706) 855-2767
(706) 855-7077
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017
SC
Other
Enumeration date
10/27/2006
Last updated
06/27/2011
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