Father of Waters Emergency Physicians LLC

NPI #1194020248 in De Kalb, Mississippi

Provider Information

NPI Number: 1194020248
Entity Type: Organization
Organization Name: Father of Waters Emergency Physicians LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 21, 2011
Last Updated: Aug 25, 2019

Practice Location

Address: 14365 HIGHWAY 16 W
City: De Kalb
State: Mississippi
ZIP Code: 39328-7974
Phone: (800) 444-7009

Authorized Official

Name: KATHLEEN KONDAS
Title: OFFICER
Phone: (954) 838-2371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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