Organization
EAGLES LANDING DIABETES AND ENDOCRINOLOGY
Active
Other names
NONE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD STEVEN WATTS M.D. (OWNER)
(770) 389-9494
Entity
Organization
Contact information
Practice address
550 EAGLES LANDING PKWY STE 110, STOCKBRIDGE, GA 30281-9083
(770) 389-9494
(770) 357-2511
Mailing address
550 EAGLES LANDING PKWY STE 110, STOCKBRIDGE, GA 30281-9083
(770) 389-9494
(770) 357-2511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
044862
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000977523A
—
GA
Enumeration date
12/05/2007
Last updated
06/13/2021
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