Watkins, Lara B

Watkins, Lara B is an individual health care provider with primary practice located at 35 Collier Road, Nw Suite 610, Atlanta GA 30309. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Watkins, Lara B can be contacted via phone (404) 355-7375.

Contact Information

Primary practice address
35 Collier Road, Nw Suite 610 Atlanta GA 30309
Phone: (404) 355-7375
Fax: (404) 350-9781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 050280 Georgia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 050280 Georgia

Profile Details

NPI number 1184611600
LBN Legal business name Watkins, Lara B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 21st, 2009 - about 16 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 1184611600 NPPES
Georgia MEDICAID PENDING

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