Individual
KIM DAVIS WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1716 WILSHIRE BLVD N, WILSON, NC 27893-1856
(252) 243-5793
(252) 243-7486
Mailing address
1716 WILSHIRE BLVD N, WILSON, NC 27893-1856
(252) 243-5793
(252) 243-7486
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9077
NC
Other
Enumeration date
10/14/2007
Last updated
10/14/2007
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