Individual
MRS. ONATHIA GEORGETTE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
1323 WILD ROSE DR SE, CONYERS, GA 30013-2997
(770) 602-2965
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN080080
GA
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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