Individual
CHRISTOPHER WAITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4143 CARMICHAEL RD, MONTGOMERY, AL 36106-2803
(334) 395-2200
Mailing address
6307 TAYLOR RIDGE RD, MONTGOMERY, AL 36116-6506
(334) 322-1952
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
421562
AL
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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