| 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 |
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 |
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 |
Aaron Clint Fisher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 35b S Peachtree St, Norcross, GA 30071 Phone: 678-355-8208 |
Diana L Woodruff, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 4530 South Berkeley Lake Rd, Suite B, Norcross, GA 30071 Phone: 770-446-5642 Fax: 770-446-5643 |