Watts, Jubal R
Watts, Jubal R is an individual health care provider with primary practice located at 150 Clinic Ave Ste 101, Carrollton GA 30117-4401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Watts, Jubal R can be contacted via phone (770) 834-0873.Contact Information
Primary practice address
150 Clinic Ave Ste 101
Carrollton GA 30117-4401
Phone: (770) 834-0873
Fax: (770) 834-6118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 16298 | Georgia |
Profile Details
| NPI number | 1033100037 |
|---|---|
| LBN Legal business name | Watts, Jubal R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jun 24th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033100037 | NPPES |
| Georgia | MEDICAID | 000160333A |
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