Individual
WILLIAM WATSON SHOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPAS
Contact information
Practice address
314 FAIRY STREET EXT STE A, MARTINSVILLE, VA 24112-1913
(276) 638-7205
(276) 638-3389
Mailing address
314 FAIRY STREET EXT STE A, MARTINSVILLE, VA 24112-1913
(276) 638-7205
(276) 638-3389
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110004221
VA
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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