Individual
ARCHIE DON WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 HWY 34 EAST BLDG 300, NEWNAN, GA 30265
(770) 304-0987
(770) 304-0428
Mailing address
2700 HWY 34 EAST BLDG 300, NEWNAN, GA 30265
(770) 304-0987
(770) 304-0428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041381
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000718902E
—
GA
Enumeration date
10/05/2006
Last updated
03/12/2010
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