# WATERS FAMILY HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699952606
- **Authorized official:** MRS. TAMMIE C WATERS CFNP (OWNER)
- **Authorized official phone:** (662) 365-3253

## Contact information

- **Practice address:** 305 MILL ST, BALDWYN, MS 38824
- **Practice address phone:** (662) 365-3253
- **Practice address fax:** (662) 365-3484
- **Mailing address:** 305 MILL ST, BALDWYN, MS 38824
- **Mailing address phone:** (662) 365-3253
- **Mailing address fax:** (662) 365-3484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R574929 | MS | Yes |

## Other

- **Enumeration date:** 01/22/2008
- **Last updated:** 01/22/2008