Organization
NANCY M WATSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL WATSON (CFO)
(706) 754-8884
Entity
Organization
Contact information
Practice address
676 441 HISTORIC HWY N, DEMOREST, GA 30535-4523
(706) 754-8884
Mailing address
PO BOX 1718, DEMOREST, GA 30535-1718
(706) 754-8884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042766
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000718121A
—
GA
Enumeration date
12/22/2010
Last updated
12/22/2010
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