Doctor Name: | PAIGE WATKINS |
NPI Number: | 1093120537 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN127979 |
Business Practice Address: | 4106 Chapel Hill Rd Douglasville, GA - 301354206 |
Business Phone Number: | 4043759089 |
Business Fax Number: | 7704891857 |
Mailing Address: | 4106 Chapel Hill Rd, DOUGLASVILLE |
State: | GA |
Postal Code: | 301354206 |
Phone Number: | 4043759089 |
Fax Number: | 7704891857 |
NPI Enumeration Date: | 06/24/2014 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | RN127979 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |