Individual
MR. MICHAEL JAMES WATSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5604
(912) 435-6933
Mailing address
19152 HWY 144, RICHMOND HILL, GA 31324-5557
(912) 727-5460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001158648
VA
Other
Enumeration date
11/21/2005
Last updated
07/08/2007
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