Individual
CHRISTINA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
458 HEMLOCK ST, MACON, GA 31201-4200
(478) 741-5945
Mailing address
328 AMANDA DR, MACON, GA 31216-6388
(478) 319-4128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN164730
GA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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