Individual
MRS. KENYA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
375 RALPH MCGILL BLVD NE, ATLANTA, GA 30312-1227
(678) 321-6427
Mailing address
375 RALPH MCGILL BLVD NE, ATLANTA, GA 30312-1227
(678) 321-6427
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215051
GA
Other
Enumeration date
11/03/2015
Last updated
09/27/2022
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