Organization
JEANE WATSON DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANE WATSON DPM (OWNER)
(678) 788-2974
Entity
Organization
Contact information
Practice address
5145 ROSEWOOD PL, FAIRBURN, GA 30213-5110
(678) 788-2974
Mailing address
5145 ROSEWOOD PL, FAIRBURN, GA 30213-5110
(678) 788-2974
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001066
GA
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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