# MARY CAROLYN WATSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MARY WATSON MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093475824
- **Authorized official:** MARY WATSON MD (OWNER)
- **Authorized official phone:** (850) 815-0063

## Contact information

- **Practice address:** 608 DOGWOOD DR NE, PELHAM, GA 31779-1132
- **Practice address phone:** (850) 815-0063
- **Mailing address:** 3361 SHADOWMOSS DR, TALLAHASSEE, FL 32308-5678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2021
- **Last updated:** 12/21/2021