Individual
SHAWANNA L WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 ROCKY RIDGE BLVD, DOUGLASVILLE, GA 30134-1526
(478) 874-5005
Mailing address
517 ROCKY RIDGE BLVD, DOUGLASVILLE, GA 30134-1526
(478) 874-5005
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
A0130
GA
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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