Individual
JEFFREY RAY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 SOUTH MASSEY STREET, SELMA, NC 27576
(919) 965-5120
Mailing address
200 SOUTH MASSEY STREET, SELMA, NC 27576
(919) 965-5120
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC3908
NC
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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