Individual
DANIELLE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1804 OVER LAKE DR SE STE A, CONYERS, GA 30013-1788
(770) 679-9935
(770) 679-9938
Mailing address
1804 OVER LAKE DR SE STE A, CONYERS, GA 30013-1788
(770) 679-9935
(770) 679-9938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN206177
GA
Other
Enumeration date
02/07/2007
Last updated
10/06/2025
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