Individual
MR. DANTEY MAURICE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
4437 ESTATE STREET, ATLANTA, GA 30349-1808
(770) 695-8444
Mailing address
4437 ESTATE ST, ATLANTA, GA 30349-8846
(770) 695-8444
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
04/18/2017
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