Individual
BERDELL ELIZABETH WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG ACNP
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-5422
Mailing address
121 RUSSELL ST, DECATUR, GA 30030-4843
(770) 310-1889
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN134304
GA
Other
Enumeration date
09/21/2015
Last updated
11/04/2015
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