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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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 1851311856 NPPES
Georgia MEDICAID 2676968914A

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