Organization
BLUE WATERS WELLNESS LLC
Active
Other names
Blue Waters Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN K WATERS D.C. (CHIROPRACTOR)
(912) 314-3023
Entity
Organization
Contact information
Practice address
403 WARD ST W, DOUGLAS, GA 31533-3505
(912) 260-0005
Mailing address
6257 OLD AXSON RD, DOUGLAS, GA 31535-3429
(912) 314-3023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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