Individual
JESSICA COOK WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2305 LULLWATER RD, ALBANY, GA 31707-3180
(229) 883-1306
(229) 883-1357
Mailing address
2305 LULLWATER RD, ALBANY, GA 31707-3180
(229) 883-1306
(229) 883-1357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014415
GA
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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