Watson, Vivian E

Watson, Vivian E is an individual health care provider with primary practice located at 612 Love Ave , Tifton GA 31794. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Watson, Vivian E can be contacted via phone (229) 391-3300.

Contact Information

Primary practice address
612 Love Ave Tifton GA 31794
Phone: (229) 391-3300
Fax: (229) 388-1948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN050405 NP Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN050405NP Georgia

Profile Details

NPI number 1245565340
LBN Legal business name Watson, Vivian E
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2009
Last updated May 7th, 2015 - about 11 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 1245565340 NPPES
Georgia MEDICAID 003124296A

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