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1205863107
KEITH H WATERS
SIMPSONVILLE, SC
NPI
1205863107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 9105)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
-- KEITH H WATERS MD
103 FAIRVIEW POINTE DRIVE
SIMPSONVILLE, SC 29681
Phone number: 864-967-4982
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Mailing Address
-- KEITH H WATERS MD
PO BOX 887
SIMPSONVILLE, SC 29681
Phone number: 864-967-4982
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