Individual
SAMUEL G WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
512 FARR SHORES DR, HOT SPRINGS, AR 71913-9622
(501) 765-3191
Mailing address
512 FARR SHORES DR, HOT SPRINGS, AR 71913-9622
(501) 765-3191
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C-8150
AR
208D00000X
General Practice Physician
Primary
C-8150
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122903001
—
AR
Enumeration date
03/09/2018
Last updated
06/16/2018
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