Individual
DR. JUSTIN MICHAEL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 WHITCHER STREET 250, MARIETTA, GA 30060
(770) 428-4475
(770) 426-1499
Mailing address
55 WHITCHER STREET, MAREITTA, GA 30060
(770) 428-4475
(770) 428-4475
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
002739
GA
208800000X
Urology Physician
002739
GA
208800000X
Urology Physician
Primary
0101250886
VA
Other
Enumeration date
12/27/2007
Last updated
03/19/2014
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