Individual
BRANDON WELLS WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1114 W MADISON AVE, ATHENS, TN 37303-4150
(423) 745-1411
Mailing address
PO BOX 634760, CINCINNATI, OH 45263-4760
(865) 539-8000
(865) 539-8008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1864
TN
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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