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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1619938198 NPPES
Georgia MEDICAID 000880536A

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