Individual
DR. SAMUEL JACOB WAITS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 MCFARLAND CIR N, TUSCALOOSA, AL 35406
(205) 345-7000
(205) 758-3906
Mailing address
208 MCFARLAND CIR N, TUSCALOOSA, AL 35406-1800
(205) 345-7000
(205) 758-3906
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
15458
MS
2085R0202X
Diagnostic Radiology Physician
Primary
25568
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124360
—
MS
05
—
009917105
—
AL
01
—
300138237
RAILROAD MEDICARE
MS
Enumeration date
06/04/2006
Last updated
07/21/2022
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