Individual
MR. MARK A WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1707 STATE ST, NASHVILLE, TN 37203-2929
(615) 327-2882
Mailing address
1707 STATE ST, NASHVILLE, TN 37203-2929
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
ORT0000000069
TN
224P00000X
Prosthetist
Primary
PRO0000000058
TN
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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