Watkins-Graham, Nerka Lavette
Watkins-Graham, Nerka Lavette is an individual health care provider with primary practice located at 134 Riverstone Terrace Suite 103, Canton GA 30114-1705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Watkins-Graham, Nerka Lavette can be contacted via phone (770) 479-1985.Contact Information
Primary practice address
134 Riverstone Terrace Suite 103
Canton GA 30114-1705
Phone: (770) 479-1985
Fax: (770) 479-4839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 046922 | Georgia |
Profile Details
| NPI number | 1619938198 |
|---|---|
| LBN Legal business name | Watkins-Graham, Nerka Lavette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2006 |
| Last updated | Mar 17th, 2016 - about 8 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 | 1619938198 | NPPES |
| Georgia | MEDICAID | 000880536A |
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