Individual
MR. JONATHAN ANDREW WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-5000
Mailing address
1800 PARKWAY PL SE, MARIETTA, GA 30067-8200
(706) 491-3853
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN258161
GA
Other
Enumeration date
03/24/2023
Last updated
03/31/2023
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