| NPI | 1134737778 |
|---|---|
| Doing Business As | BLUE WATERS WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN K WATERS Chiropractor 912-314-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |