Healthcare Provider Details

I. General information

NPI: 1992973556
Provider Name (Legal Business Name): ERIN L WATKINS P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2008
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 OLD MILTON PKWY STE 465
ALPHARETTA GA
30005-3707
US

IV. Provider business mailing address

3400 OLD MILTON PKWY STE 465
ALPHARETTA GA
30005-3707
US

V. Phone/Fax

Practice location:
  • Phone: 678-888-4460
  • Fax: 678-888-5533
Mailing address:
  • Phone: 678-888-4460
  • Fax: 678-888-5533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number202I479011
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: