Watson, Raquel Maria

Watson, Raquel Maria is an sole proprietor health care provider with primary practice located at 5300 Memorial Dr Ste 121 , Stone Mountain GA 30083-3154. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Watson, Raquel Maria can be contacted via phone (404) 254-4500.

Contact Information

Primary practice address
5300 Memorial Dr Ste 121 Stone Mountain GA 30083-3154
Phone: (404) 254-4500
Fax: (404) 254-4517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 032674 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 032674 Georgia

Profile Details

NPI number 1215936323
LBN Legal business name Watson, Raquel Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Mar 17th, 2018 - about 8 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 1215936323 NPPES
Georgia MEDICAID 000449721S

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