Individual
TIMOTHY LEE WATSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
703 RITTER DR, GLEN MORGAN, WV 25813-7709
(304) 255-1300
Mailing address
226 GRIST MILL DR, BECKLEY, WV 25801-9539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01175
WV
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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