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Individual

LEAH WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5330 HIGHWAY 115, CLARKESVILLE, GA 30523-6730
(706) 754-5991
(706) 754-6736
Mailing address
5330 HIGHWAY 115, CLARKESVILLE, GA 30523-6730
(706) 754-5991
(706) 754-6736

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009120

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009120
MEDICAL LICENSE NUMBER
Enumeration date
01/31/2019
Last updated
01/31/2019
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