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DR. WALTER HILL LEVIE DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1114147196

Individual Registrant:
DR. WALTER HILL LEVIE DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
201 E VILLANOW ST  LA FAYETTE, GA 30728-2520 US
Tel: 706-638-2784  Fax: 706-638-7428

Contact information for business:
201 E VILLANOW ST P.O. BOX 1725 LA FAYETTE, GA 30728-2520 US
Tel: 706-638-2784  Fax: 706-638-7428

Registration Information:
NPI: 1114147196
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
GADN009449

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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