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NPI Code Detail

MEDICARE: KARE V MOBILE LLLP

MEDICARE: KARE V MOBILE LLLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1750263331
Entity Type Code : Organization
Provider Name (Legal Business Name) : KARE V MOBILE LLLP
Provider Business Mailing Address
First Line : 4178 SNAPFINGER WOODS DR
Second Line :
City : DECATUR
State : GA
Zip : 30035-3411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4178 SNAPFINGER WOODS DR
Second Line :
City : DECATUR
State : GA
Zip : 30035-3411
Country : US
Telephone Number : 678-940-9674
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KWANE WATSON
Credential : DMD
Telephone Number : 502-523-2347
Provider Enumeration Date : 07/23/2025
Last Update Date : 07/23/2025

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Directions to “KARE V MOBILE LLLP ” Practice Location

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