Individual
GEORGE DAVID WATERMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4867
(614) 722-4380
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4867
(614) 722-4380
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35080962
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2317675
—
OH
Enumeration date
07/05/2005
Last updated
12/02/2008
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