Individual
CHAD RYAN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 BEASLEY DR, DICKSON, TN 37055-2841
(615) 441-1417
Mailing address
175 BEASLEY DR, DICKSON, TN 37055-2841
(615) 441-1417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37755
TN
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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