Watts, Stephanie

Watts, Stephanie is an individual health care provider with primary practice located at 1050 Shiloh Rd Nw Ste 303 , Kennesaw GA 30144-7197. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Watts, Stephanie can be contacted via phone (678) 779-0842.

Contact Information

Primary practice address
1050 Shiloh Rd Nw Ste 303 Kennesaw GA 30144-7197
Phone: (678) 779-0842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 003025 Georgia

Profile Details

NPI number 1417095092
LBN Legal business name Watts, Stephanie
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2007
Last updated Sep 18th, 2020 - about 4 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 1417095092 NPPES
Georgia MEDICAID 146018154A
Georgia Other 003025

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