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Organization
G.V. SONNY MONTGOMERY MEDICAL CENTER
Active
Organization
G.V. SONNY MONTGOMERY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMATHA TENILLE WATSON RRT (REGISTERED RESPIRATORY THERAPIST)
(601) 362-4471
Entity
Organization
Contact information
Practice address
425 BEASLEY RD APT K5, JACKSON, MS 39206-2929
(601) 362-4471
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
RCP4433
MS
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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