Individual
DR. GEORGE EDWARD WATERS III
Active
Individual
DR. GEORGE EDWARD WATERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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