Individual
MS. SHELLEY AUGUST WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4826 LAVISTA RD STE B, TUCKER, GA 30084-4401
(770) 938-2400
Mailing address
527 STEPHENSON AVE # A3, SAVANNAH, GA 31405-5923
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
863
GA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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