Keith H Waters, MD

NPI #1205863107 in Simpsonville, South Carolina

Provider Information

NPI Number: 1205863107
Entity Type: Individual
Name: Keith H Waters, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 103 FAIRVIEW POINTE DRIVE
City: Simpsonville
State: South Carolina
ZIP Code: 29681
Phone: (864) 967-4982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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