Individual
DR. BENJAMIN LUTHER WATSON
Active
Individual
DR. BENJAMIN LUTHER WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
029118
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
029118
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000374437F
—
GA
01
—
681683
BCBS
GA
05
—
G29118
—
SC
Enumeration date
07/15/2005
Last updated
02/04/2013
Update your record
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