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Individual

DR. DARREN KEITH WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2350 SCHILLINGER ROAD SOUTH, SUITE A, MOBILE, AL 36695-4177
(251) 633-0123
Mailing address
PO BOX 7627, MOBILE, AL 36670-0627
(251) 633-7211
(251) 410-6079

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24508
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009979840559400060
AL
Enumeration date
05/27/2006
Last updated
06/03/2010
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