Individual
MRS. LARA B WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 COLLIER ROAD, NW, SUITE 610, ATLANTA, GA 30309
(404) 355-7375
(404) 350-9781
Mailing address
35 COLLIER ROAD, NW, SUITE 610, ATLANTA, GA 30309
(404) 355-7375
(404) 350-9781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
050280
GA
207RN0300X
Nephrology Physician
Primary
050280
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
Enumeration date
09/30/2005
Last updated
07/21/2009
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