Organization
J. MICHAEL WATTS
Active
Other names
Marshall Neurology Center
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA WATTS (ADMINISTRATOR)
(205) 617-7088
Entity
Organization
Contact information
Practice address
95 WALL ST, ALBERTVILLE, AL 35951-7392
(256) 878-3999
(256) 878-3779
Mailing address
PO BOX 1845, ALBERTVILLE, AL 35950-0030
(256) 878-3999
(256) 878-3779
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
DO.449
AL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130002
—
AL
Enumeration date
05/17/2012
Last updated
03/09/2024
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