Waters, Gordon Brent
Waters, Gordon Brent is an individual health care provider with primary practice located at 120 E Carter Ave , Blackshear GA 31516-1561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Waters, Gordon Brent can be contacted via phone (912) 449-4426.Contact Information
Primary practice address
120 E Carter Ave
Blackshear GA 31516-1561
Phone: (912) 449-4426
Fax: (912) 449-1059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 052849 | Georgia |
Profile Details
| NPI number | 1730109414 |
|---|---|
| LBN Legal business name | Waters, Gordon Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 8th, 2007 - 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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