Organization
CLERK SURGICAL ASSISTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER LEE CLERK CSFA (OWNER)
(872) 215-0850
Entity
Organization
Contact information
Practice address
1755 HIGHWAY 34 E STE 1000, NEWNAN, GA 30265-5631
(214) 227-2457
(214) 764-0880
Mailing address
1755 HIGHWAY 34 E STE 1000, NEWNAN, GA 30265-5631
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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