| Organization Name: | DONALD H. WATTERS MD |
| NPI Number: | 1134422918 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONALD H WATTERS (OWNER) |
| Mailing Address: | 711 Cook Dr Suite 200 Athens |
| State: | TN US |
| Postal Code: | 373033486 |
| Phone Number: | 4235078369 |
| Fax Number: | 4235078387 |
| NPI Enumeration Date: | 12/16/2010 |
| NPI Last Update Date: | 12/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |