Watkins, Clyde
Watkins, Clyde is an sole proprietor health care provider with primary practice located at 5900 Hillandale Drive , Lithonia GA 30058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Watkins, Clyde can be contacted via phone (404) 446-3870.Contact Information
Primary practice address
5900 Hillandale Drive
Lithonia GA 30058
Phone: (404) 446-3870
Fax: (404) 446-3875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036033 | Georgia |
Profile Details
| NPI number | 1851311856 |
|---|---|
| LBN Legal business name | Watkins, Clyde |
| Credentials | MD, FACP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851311856 | NPPES |
| Georgia | MEDICAID | 2676968914A |
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