Most Relevant Information
Provider Data
NPI Number: | 1003029190 |
Provider Name: | ELOISE E WATERS RN |
Entity Type: | Individual |
Taxonomy Code: | 163WC1500X |
Specialty: | Registered Nurse |
License Number: | 0000028372 |
Most Important Dates
Enumeration Date: | 05/07/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
201 DOOLEY ST SE
CLEVELAND
TN
373116220
Practice Location Phone/Fax
Phone: | 4237287020 |
Fax: | 4234796130 |
Provider Mailing Location
3310 CRAWFORD DR SE
CLEVELAND
TN
373230255
Provider Mailing Phone/Fax
Phone: | 4234792869 |
Fax: |