Individual
HEIDEMARIE C WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
DEPARTMENT OF DERMATOLOGY, 3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096
(770) 931-6012
Mailing address
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1736
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001725
GA
Other
Enumeration date
09/15/2006
Last updated
05/03/2010
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