Individual
CATHLEEN M. WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 RIVERSIDE AVE, WAYCROSS, GA 31501-5323
(912) 287-4863
(912) 287-5875
Mailing address
1101 CHURCH ST, WAYCROSS, GA 31501-3525
(912) 287-4863
(912) 287-5875
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN167697
GA
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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