Individual
ARIELLE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 882-1411
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN225764
GA
Other
Enumeration date
01/08/2020
Last updated
03/24/2020
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