Individual
MRS. CAROLINE MOORE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5106 OAK ST, EASTMAN, GA 31023-6027
(478) 242-6965
Mailing address
1045 APPLECROSS DR, ROSWELL, GA 30075-1000
(404) 409-4560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11774
NC
1223G0001X
General Practice Dentistry
Primary
DN124056
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/04/2026
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