Individual
MONICA OLENNA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7990 WELLS ST STE 100, SENOIA, GA 30276-2267
(470) 947-6010
Mailing address
745 GLYNN ST S, FAYETTEVILLE, GA 30214-2049
(404) 929-8824
(404) 929-9769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036313
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000543265M
—
GA
Enumeration date
01/30/2007
Last updated
11/08/2023
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