Individual
SHEENA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(706) 363-2991
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(706) 363-2991
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001599
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000000443
BOARD OF CERTIFICATION
GA
Enumeration date
03/08/2019
Last updated
03/08/2019
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