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Organization
WATSON RETINA LLC
Active
Organization
WATSON RETINA LLC
Active
Other names
Watson Retina
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WATSON (MD)
(205) 637-7123
Entity
Organization
Contact information
Practice address
4505 PINE TREE CIR STE 120, VESTAVIA, AL 35243-2380
(205) 637-7123
Mailing address
4505 PINE TREE CIR STE 120, VESTAVIA, AL 35243-2380
(205) 637-7123
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
NULL
Other
Enumeration date
03/23/2020
Last updated
04/11/2022
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