Individual
DR. C CLEVE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1755 GUNBARREL RD, SUITE 200, CHATTANOOGA, TN 37421-7137
(423) 855-4044
(423) 855-4105
Mailing address
1755 GUNBARREL RD, SUITE 200, CHATTANOOGA, TN 37421-7137
(423) 855-4044
(423) 855-4105
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0000011727
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000223759B
—
GA
01
—
0004216249
AETNA
—
01
—
1727929
CIGNA
—
01
—
4135663
BCBST
TN
Enumeration date
02/08/2006
Last updated
06/05/2013
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