Provider Demographics
NPI:1235907593
Name:WATSON, DEVA ARNELLE (DC)
Entity type:Individual
Prefix:DR
First Name:DEVA
Middle Name:ARNELLE
Last Name:WATSON
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 MAGNOLIA GARDENS WALK
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-6082
Mailing Address - Country:US
Mailing Address - Phone:678-485-0799
Mailing Address - Fax:
Practice Address - Street 1:626 FIRST ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201
Practice Address - Country:US
Practice Address - Phone:478-239-3765
Practice Address - Fax:470-704-5631
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR011039111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor