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Individual

MRS. SHARON Y WATERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
750 TOWNPARK LANE, KAISER PERMANENTE TOWNPARK COMPREHENSIVE MEDICAL CENTER, KENNESAW, GA 30144
(770) 514-5401
(865) 291-3228
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
043313
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000776597M
GA
Enumeration date
07/05/2006
Last updated
06/10/2014
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