| Martina Watson, | |
| 
					3850 Holcomb Bridge Rd, Building 100 Suite 110, Norcross, GA 30092-5223  | |
| (404) 389-2120 | |
| Not Available | 
| Full Name | Martina Watson | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 3850 Holcomb Bridge Rd, Norcross, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679939847 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC0008936 (Georgia) | Primary | 
| Entity Name | Grow Healthcare Group Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Martina Watson, 3850 Holcomb Bridge Rd, Building 100 Suite 110, Norcross, GA 30092-5223 Ph: (404) 389-2120  | Martina Watson, 3850 Holcomb Bridge Rd, Building 100 Suite 110, Norcross, GA 30092-5223 Ph: (404) 389-2120  | 
Dr. Reginald B. Riley, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8000 Miller Ct E, Norcross, GA 30071 Phone: 770-734-8091 Fax: 770-734-8094  | |
Mrs. Courtney Lynn Rose James, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Technology Pkwy S Ste 100, Norcross, GA 30092 Phone: 833-628-8476 Fax: 770-200-1563  | |
Dr. Anthony S Lewis, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 5712 Pine Oak Dr, Norcross, GA 30092 Phone: 770-696-1549  | |
Tequila Olivia Banks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 Phone: 470-658-8156  | |
Mercianna R Oliver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1780 Graves Rd Apt 514, Norcross, GA 30093 Phone: 404-493-3803  | |
Lan Chen,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3200 Pointe Pkwy, Suite 400, Peachtree Corners, Norcross, GA 30092 Phone: 678-259-9298  | |
Kenanesha Owens,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 Phone: 770-696-9231  |