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Contact Information

KEITH H WATERS, MD
103 FAIRVIEW POINTE DRIVE
SIMPSONVILLE, SC29681
 Phone: 864-967-4982
 Fax: 864-967-8465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KEITH H WATERS · (Male)

NPI # 1205863107
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 9105
  • SC Medicaid GP0435
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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