| NPI | 1114194024 |
|---|---|
| Doing Business As | ZACK J. WATERS JR.,GENERAL OUTPATIENT SURGERY |
| Entity Type | Organization |
| Authorized Contact | SUSAN S GERARD Phsyician Practice Administrator 252-975-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2010-03-03 |