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Joseph Vandewater
NPI 1366978678 · on the registry since 2017 · sole proprietor
Practice
- Address
- 114 Idle Hour Dr
Macon, GA 31210 - Phone
- (478) 955-4358
- Organisation at this address
- Cardiovascular Pulmonary Research Foundation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 208G00000X
208G00000X
- Also registered as
- 208600000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia