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1619642881
KATELYN R WATERS
COLUMBIA, SC
NPI
1619642881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 25183)
Enumeration Date
2021-08-10
Last Update Date
2021-09-14
Business Address
KATELYN R WATERS FNP
3 RICHLAND MEDICAL PARK DR STE 310
COLUMBIA, SC 29203-6862
Phone number: 803-434-8324
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Mailing Address
KATELYN R WATERS FNP
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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