Individual
BRIAN KEITH WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
403 WARD ST W, DOUGLAS, GA 31533-3505
(912) 260-0005
Mailing address
6257 OLD AXSON RD, DOUGLAS, GA 31535-3429
(912) 314-3023
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008092
GA
Other
Enumeration date
07/22/2019
Last updated
06/05/2020
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