Individual
MRS. STEPHANIE FITZGERALD WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT, AE-C
Contact information
Practice address
6155 AUTUMN OAKS DRIVE, OLIVE BRANCH, MS 38654-6611
(901) 233-0403
(800) 637-3197
Mailing address
6155 AUTUMN OAKS DR, OLIVE BRANCH, MS 38654-6611
(901) 233-0403
(800) 637-3197
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RRT0000000967
TN
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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