Blue Waters Wellness LLC

NPI #1134737778 in Douglas, Georgia

Provider Information

NPI Number: 1134737778
Entity Type: Organization
Organization Name: Blue Waters Wellness LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 20, 2020
Last Updated: Jul 20, 2020

Practice Location

Address: 403 WARD ST W
City: Douglas
State: Georgia
ZIP Code: 31533-3505
Phone: (912) 260-0005

Authorized Official

Name: DR. BRIAN K WATERS, D.C.
Title: CHIROPRACTOR
Phone: (912) 314-3023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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