Individual
MICHELLE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA/PP
Contact information
Practice address
806 W 1ST ST, ADEL, GA 31620-2102
(229) 548-4994
Mailing address
806 W 1ST ST, ADEL, GA 31620-2102
(229) 548-4994
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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