Rudolph-Watson, Lisa Ann

Rudolph-Watson, Lisa Ann is an sole proprietor health care provider with primary practice located at 3131 S Main St , Moultrie GA 31768-6925. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Rudolph-Watson, Lisa Ann can be contacted via phone (229) 985-3420.

Contact Information

Primary practice address
3131 S Main St Moultrie GA 31768-6925
Phone: (229) 985-3420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 17946 West Virginia

Profile Details

NPI number 1881627867
LBN Legal business name Rudolph-Watson, Lisa Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jul 28th, 2023 - about 3 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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