Provider Demographics
NPI:1003607508
Name:WATSON, TAMEKA JANAY (RDN)
Entity type:Individual
Prefix:
First Name:TAMEKA
Middle Name:JANAY
Last Name:WATSON
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 ECHO ST NW APT 1514
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-6752
Mailing Address - Country:US
Mailing Address - Phone:901-626-6630
Mailing Address - Fax:
Practice Address - Street 1:750 ECHO ST NW APT 1514
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-6752
Practice Address - Country:US
Practice Address - Phone:901-626-6630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered