Individual
RAYMOND ALAN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1995 N PARK PL SE, ATLANTA, GA 30339-7801
(706) 799-7343
Mailing address
1995 N PARK PL SE, ATLANTA, GA 30339-7801
(706) 799-7343
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT015505
GA
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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