Individual
TIMOTHY R WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
ACUTE CARE AND FAMILY CLININC 351 PEOPLES DR, 351 PEOPLES DR, PONTOTOC, MS 38863
(662) 489-2777
Mailing address
11 CR 4091, OXFORD, MS 38655
(251) 604-9639
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95003063
CA
363LP2300X
Primary Care Nurse Practitioner
95003063
CA
Other
Enumeration date
09/16/2015
Last updated
02/23/2016
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