Individual
MR. DONALD B. WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 E CARTER AVE, BLACKSHEAR, GA 31516-1561
(912) 449-4426
(912) 449-1517
Mailing address
120 E CARTER AVE, BLACKSHEAR, GA 31516-1561
(912) 449-4426
(912) 449-1517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13804
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00071904A
—
GA
Enumeration date
07/06/2006
Last updated
10/21/2009
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