Individual
KRYSTAL WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4734 HARMON PL, LIZELLA, GA 31052-4530
(478) 262-5892
Mailing address
4734 HARMON PL, LIZELLA, GA 31052-4530
(478) 262-5892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN274542
GA
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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