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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841387776 | NPPES |
| Georgia | MEDICAID | 778679783E |
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