Individual
EMMA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO/L
Contact information
Practice address
5445 MERIDIAN MARK RD STE 200, ATLANTA, GA 30342-4755
(404) 785-2691
Mailing address
12317 MADISON DR, ATLANTA, GA 30346-2473
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
246
GA
224P00000X
Prosthetist
246
GA
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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