Individual
DEWITT CLINTON ALFRED III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 CHAMBLEE TUCKER RD BLDG 16, ATLANTA, GA 30341-4148
(770) 939-1288
Mailing address
831 FAIRWAYS CT STE A, STOCKBRIDGE, GA 30281-7278
(770) 389-1925
(912) 437-9481
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42989
GA
Other
Enumeration date
06/12/2006
Last updated
01/31/2023
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