| NPI | 1679292437 |
|---|---|
| Former Legal Business Name | SHENEETA WATTS PA & COMPANY |
| Entity Type | Organization |
| Authorized Contact | SHENEETA MECHELLE WATTS Owner, CEO 678-632-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-09-23 |