Individual
STEPHEN RUSSELL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 236-4950
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 539-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN152968
GA
Other
Enumeration date
01/28/2017
Last updated
01/28/2017
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