Individual
ALICIA LAVETTE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6426
(706) 651-4343
Mailing address
2843 MANDY CT, JONESBORO, GA 30236-4187
(229) 375-4886
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN259656
GA
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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