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Individual

CONNIE T WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
242 KING AVENUE, SUITE 210, ATHENS, GA 30606
(706) 475-1700
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN118797
GA
363LG0600X
Gerontology Nurse Practitioner
RN118797
GA

Other

Enumeration date
04/02/2015
Last updated
09/25/2024
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