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1326064601
HENRY C WATERER
JACKSON, MS
NPI
1326064601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: MS 11093)
Enumeration Date
2006-07-13
Last Update Date
2014-10-23
Business Address
-- HENRY C WATERER M.D.
501 MARSHALL ST STE 104
JACKSON, MS 39202-1651
Phone number: 601-969-6404
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Mailing Address
-- HENRY C WATERER M.D.
501 MARSHALL ST STE 104
JACKSON, MS 39202-1651
Phone number: 601-969-6404
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