Individual
DR. JOHN BRYAN WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992
(205) 316-7675
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992
(205) 316-7675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25230
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009957265
—
AL
01
—
0515-20913
BLUE CROSS
AL
Enumeration date
07/20/2006
Last updated
02/28/2018
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