Individual
TACHIANA COURNITA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 AUTUMN LAKE DR, MCDONOUGH, GA 30253-6590
(678) 510-8961
Mailing address
324 AUTUMN LAKE DR, MCDONOUGH, GA 30253-6590
(678) 510-8961
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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