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1174270417
MICHAEL JOHN WATERS
GREENVILLE, SC
NPI
1174270417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-07
Last Update Date
2022-03-07
Business Address
Dr. MICHAEL JOHN WATERS
701 GROVE RD
GREENVILLE, SC 29605-4210
Phone number: 864-455-7000
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Mailing Address
Dr. MICHAEL JOHN WATERS
25 STATION CT APT 101
GREENVILLE, SC 29601-2954
Phone number: 864-696-7421
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