Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GORDON BRENT WATERS, M.D.
ActiveFamily Medicine · BLACKSHEAR, GA
Registration Details
- NPI Number
- 1730109414
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2006 (19.788077408024 yrs)
- Last Updated
- Jul 8, 2007
- License
-
052849 (GA)
Practice Information
- Address
-
120 E CARTER AVEBLACKSHEAR, GA, 315161561Browse GA providers · Browse ZIP 31516
- Phone
- 9124494426
- Fax
- 9124491059
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BLACKSHEAR, GA
| Name | Credential | NPI |
|---|---|---|
| MR. DONALD B. WATERS | M.D. | 1972535615 |
| MS. SUSAN BRICKLE | M.D. | 1407876188 |
| MR. THOMAS W DAVIS | M.D. | 1144243064 |
| JEFFREY P. DAVENPORT | M.D. | 1528204989 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.