Organization
CAPSTONE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE WATKINS JR. M.D. (PHYSICIAN)
(404) 446-3870
Entity
Organization
Contact information
Practice address
5900 HILLANDALE DR, ANNEX E, LITHONIA, GA 30058-3802
(404) 446-3870
(404) 446-3875
Mailing address
5900 HILLANDALE DR, ANNEX E, LITHONIA, GA 30058-3802
(404) 446-3870
(404) 446-3875
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036033
GA
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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