Gordon Brent Waters in Blackshear - Family Medicine
Gordon Brent Waters - NPI 1730109414
Gordon Brent Waters is a Family Medicine in Blackshear, Georgia. Gordon Brent Waters practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gordon Brent Waters is 1730109414. The last update date is 2007-07-08.
Gordon Brent Waters's current location address is 120 E Carter Ave, Blackshear, Georgia. You can contact this provider via phone number 9124494426 and fax number 9124491059. The mailing address for Gordon Brent Waters is 120 E Carter Ave, Blackshear, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Brent Waters |
|---|---|
| Address | 120 E Carter Ave, Blackshear, Georgia |
| Phone Number | 9124494426 |
| Fax Number | 9124491059 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1730109414 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 120 E Carter Ave |
|---|---|
| City | Blackshear |
| State | Georgia (GA) |
| Post Code | 315161561 |
| Phone Number | 9124494426 |
| Fax Number | 9124491059 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 52849 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique identifier code issued to Gordon Brent Waters by the Centers for Medicare & Medicaid Services (CMS)?
The Gordon Brent Waters has been assigned the NPI (National Provider Identifier) 1730109414. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Gordon Brent Waters?
The Gordon Brent Waters is physically situated at 120 E Carter Ave, in the city of Blackshear, state of GA, with the postal code 315161561.
What is Gordon Brent Waters's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gordon Brent Waters is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730109414 to Gordon Brent Waters?
The Gordon Brent Waters received its 1730109414 assignment from the Centers for Medicare & Medicaid Services on 2006-07-19.
As of what date was the information pertaining to Gordon Brent Waters, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gordon Brent Waters, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.