Individual
DR. GEORGE EDWARD WATERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 S GEORGE ST, 3RD FLOOR, YORK, PA 17403-3676
(717) 851-4005
(717) 812-2495
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3026
(717) 851-1405
(717) 812-2495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD436057
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034084700
—
MD
05
—
102300770
—
PA
01
—
1583286
GATEWAY-WMG
PA
01
—
20091558
AMERIHEALTH MERCY-WMG
PA
01
—
2112431
HIGHMARK BLUE SHIELD
PA
01
—
276263
UNISON HEALTH PLAN (WMG)
PA
01
—
30131965
AMERIHEALTH MERCY - WMG
PA
01
—
953498
CAREFIRST MD BCBS
MD
Enumeration date
06/11/2008
Last updated
12/31/2012
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