Individual
KYLE D. WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
SC HOUSE CALLS INC., 111 DOCTORS CIR, COLUMBIA, SC 29203-1705
(800) 491-0909
Mailing address
SC HOUSE CALLS INC., 111 DOCTORS CIR, COLUMBIA, SC 29203-1705
(800) 491-0909
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10671
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/17/2021
Last updated
05/13/2024
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