Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kathleen Marie Waters, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578096590

Dr. Kathleen Marie Waters, MD is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

49 Jesse Hill Jr Dr SE 2nd Fl
Atlanta, GA 30303-3049
Phone: (404) 778-1440
Fax: (404) 778-1401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PP0204X · Licence 86639 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578096590
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2017
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

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