Organization
RENEE L WATERS, MD PC
Active
Other names
IVY RIDGE PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TOD KEYS (OFFICE MANAGER)
(770) 205-7799
Entity
Organization
Contact information
Practice address
285 ELM ST, SUITE 102, CUMMING, GA 30040-8233
(770) 205-9457
(678) 947-4060
Mailing address
285 ELM ST, SUITE 102, CUMMING, GA 30040-8233
(770) 205-9457
(678) 947-4060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00650339D
—
GA
Enumeration date
05/03/2007
Last updated
06/25/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us