Individual
ANDREW WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1092 CARPENTER RD N, CHULA, GA 31733-4111
(229) 520-2515
Mailing address
1092 CARPENTER RD N, CHULA, GA 31733-4111
(229) 520-2515
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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