Individual
DAWN M WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2569
(228) 867-4000
Mailing address
14231 SEAWAY RD STE F9, GULFPORT, MS 39503-4648
(228) 860-8827
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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