Individual
JOANNA HARDIE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
895 WASHINGTON ST SW, BLACKSBURG, VA 24061-1067
(540) 231-6444
(540) 231-6900
Mailing address
895 WASHINGTON ST SW, BLACKSBURG, VA 24061-1067
(540) 231-6444
(540) 231-9383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003794
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110003794
VA LICENSE
VA
Enumeration date
02/17/2012
Last updated
01/04/2023
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