Individual
MRS. MARILYN P WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 KIRBY PKWY, #1, MEMPHIS, TN 38119
(901) 737-7393
(901) 737-2696
Mailing address
3330 DELL GLADE DR, MEMPHIS, TN 38111-4716
(901) 486-5246
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30757
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3836947
—
TN
Enumeration date
07/14/2006
Last updated
07/17/2009
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