Individual
ERICA C WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
275 SHERATON BLVD, MACON, GA 31210-1359
(478) 745-5779
(478) 742-7796
Mailing address
275 SHERATON BLVD, MACON, GA 31210-1359
(478) 745-5779
(478) 742-7796
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN249062
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN249062
STATE OF GEORGIA NURSING BOARD
GA
Enumeration date
08/07/2020
Last updated
08/07/2020
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