Individual
JOHN OTIS WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 MCFARLAND BLVD, NORTHPORT, AL 35476-3270
(205) 926-2992
(205) 316-7675
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992
(205) 316-7675
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9904
AL
208C00000X
Colon & Rectal Surgery Physician
9904
AL
Other
Enumeration date
07/10/2006
Last updated
05/06/2020
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