Individual
DR. KELLIE MCADAMS WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
772 LAKE HARBOUR DR STE 2, RIDGELAND, MS 39157-4365
(601) 607-7876
Mailing address
772 LAKE HARBOUR DR STE 2, RIDGELAND, MS 39157-4365
(601) 607-7876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3936-17
MS
Other
Enumeration date
06/21/2017
Last updated
04/04/2023
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