Individual
MR. WILLIAM LEON THEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 RED BUD RD NE STE 200, CALHOUN, GA 30701-6010
(706) 602-8300
(706) 625-6955
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703-7013
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
037091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000553979D
—
GA
Enumeration date
09/12/2006
Last updated
01/02/2020
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