LATEEFAH KIBIBI ASYBI WATFORD M.D. NPI 1841387776

NPI Information

NPI: 1841387776
Provider Name: LATEEFAH KIBIBI ASYBI WATFORD, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
2400 MT. ZION PARKWAY
KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA
ZIP 30236
Phone: (770) 603-3632
Get Directions

Lateefah Kibibi Asybi Watford, M.D. is a child and adolescent psychiatry psychiatry neurology in Jonesboro, GA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Lateefah Kibibi Asybi Watford, M.D. NPI is 1841387776. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2400 MT. ZION PARKWAY
KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA
ZIP 30236
Phone: (770) 603-3632
Fax: (678) 264-1584

The enumeration date for this NPI number is 10/10/2006 and was last updated on 4/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		056502	GEORGIA	No
2	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	056502	GEORGIA	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	056502	GEORGIA	No
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	056502	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	778679783E	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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