Watford, Lateefah Kibibi Asybi

Watford, Lateefah Kibibi Asybi is an sole proprietor health care provider with primary practice located at 2400 Mt. Zion Parkway Kaiser Permanente Southwood Medical Center, Jonesboro GA 30236. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Watford, Lateefah Kibibi Asybi can be contacted via phone (770) 603-3632.

Contact Information

Primary practice address
2400 Mt. Zion Parkway Kaiser Permanente Southwood Medical Center Jonesboro GA 30236
Phone: (770) 603-3632
Fax: (678) 264-1584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 056502 Georgia
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 056502 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 056502 Georgia
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 056502 Georgia

Profile Details

NPI number 1841387776
LBN Legal business name Watford, Lateefah Kibibi Asybi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Apr 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841387776 NPPES
Georgia MEDICAID 778679783E

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