Individual
NERKA LAVETTE WATKINS-GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
134 RIVERSTONE TERRACE, SUITE 103, CANTON, GA 30114-1705
(770) 479-1985
(770) 479-4839
Mailing address
134 RIVERSTONE TERRACE, SUITE 103, CANTON, GA 30114-1705
(770) 479-1985
(770) 479-4839
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
046922
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000880536A
—
GA
Enumeration date
04/01/2006
Last updated
03/17/2016
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