Jeane Watson DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD001066 Issued in GA

Legal business name

JEANE WATSON DPM LLC

Practice address

5145 Rosewood PL
Fairburn, GA 30213-5110

Phone

(678) 788-2974

NPI assigned

Aug 30, 2013

Last updated

Aug 30, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeane Watson, DPM

Title

Owner

Phone

(678) 788-2974

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1629402219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 ROSEWOOD PL",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302135110",
            "telephone_number": "678-788-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 ROSEWOOD PL",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302135110",
            "telephone_number": "678-788-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANE WATSON DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JEANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-788-2974",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.