Individual
DR. DAVID WAYNE PROEFROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4684 OAKLEY PIRKLE RD, MARTINEZ, GA 30907-8853
(706) 863-4534
Mailing address
4684 OAKLEY PIRKLE RD, MARTINEZ, GA 30907-8853
(706) 863-4534
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
759
GA
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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