Raymond Alan Waters
Raymond Alan Waters is a Physical Therapist in Private Practice in Atlanta, Georgia. Qualified in 2021, 5 years ago. Licensed in Georgia.
- Years since qualifying
- 5
- Licensed in
- GA
- In the registry since
- 2021
Practice location Address checks out
1995 N Park Pl SEAtlanta, GA 30339-7801
Phone: (706) 799-7343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X · Licence PT015505 (GA) |
|---|
Record details
| NPI number | 1568139558 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 26, 2021 |
| Last updated in NPPES | August 26, 2021 |
| Certification date | August 26, 2021 |
| Mailing address | 1995 N Park Pl Se, Atlanta, GA 30339-7801 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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