Individual
DR. KOBENA Y WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5305 COUNTRY LAKE CT SW, LILBURN, GA 30047-6760
(301) 651-2211
Mailing address
5305 COUNTRY LAKE CT SW, LILBURN, GA 30047-6760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
97289
GA
Other
Enumeration date
04/24/2018
Last updated
06/17/2025
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