Capstone Medical Group

NPI #1689856981 in Lithonia, Georgia

Provider Information

NPI Number: 1689856981
Entity Type: Organization
Organization Name: Capstone Medical Group
Primary Specialty: Specialist
Enumeration Date: Nov 29, 2007
Last Updated: Nov 29, 2007

Practice Location

Address: 5900 HILLANDALE DR
Address 2: ANNEX E
City: Lithonia
State: Georgia
ZIP Code: 30058-3802
Phone: (404) 446-3870

Authorized Official

Name: DR. CLYDE WATKINS JR., M.D.
Title: PHYSICIAN
Phone: (404) 446-3870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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