Individual
CAROL TIEVA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 WHITESPORT DR SW STE 200, HUNTSVILLE, AL 35801-3455
(256) 880-0450
Mailing address
333 WHITESPORT DR SW STE 200, HUNTSVILLE, AL 35801-3455
(256) 880-0450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9812
AL
2083X0100X
Occupational Medicine Physician
9812
AL
Other
Enumeration date
01/18/2006
Last updated
10/01/2012
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