Individual
ERIN EILEEN WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
428 CANTON RD, CUMMING, GA 30040-2002
(770) 781-6900
Mailing address
428 CANTON RD, CUMMING, GA 30040-2002
(770) 781-6900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN076720
GA
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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