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Individual

VERONICA A WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8075 MALL PKWY, STE 101-334, LITHONIA, GA 30038-6993
(678) 508-1935
(770) 323-1983
Mailing address
8075 MALL PKWY, STE 101-334, LITHONIA, GA 30038-6993
(678) 508-1935
(770) 323-1983

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
743527131A
GA
Enumeration date
12/12/2012
Last updated
12/12/2012
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