Waters, Gary Douglas

Waters, Gary Douglas is an individual health care provider with primary practice located at 2424 Double Churches Rd , Columbus GA 31909-2741. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Waters, Gary Douglas can be contacted via phone (706) 324-6112.

Contact Information

Primary practice address
2424 Double Churches Rd Columbus GA 31909-2741
Phone: (706) 324-6112
Fax: (706) 596-8259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP000655 Georgia

Profile Details

NPI number 1992868863
LBN Legal business name Waters, Gary Douglas
Credentials MSC, CCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 29th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992868863 NPPES
Georgia Other 52164429 BCBS OF GA PROVIDER NUMBE
Georgia MEDICAID 308298384A BCBS OF GA PROVIDER NUMBE

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