Individual
DR. KEVIN DOUGLAS WAITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3854
(770) 533-7288
(770) 534-9800
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
84824
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003231783
—
GA
Enumeration date
12/03/2009
Last updated
07/24/2025
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