Individual
TRENTON WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
533 SHADOW WOOD DR, SMITHS STATION, AL 36877-4836
(850) 814-4107
Mailing address
533 SHADOW WOOD DR, SMITHS STATION, AL 36877-4836
(850) 814-4107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-107743
AL
363L00000X
Nurse Practitioner
244202
GA
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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