Individual
MRS. AMANDA W WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1210 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-9272
(706) 322-1717
(706) 322-1718
Mailing address
1210 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-9272
(706) 322-1717
(706) 322-1718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5328
GA
363AM0700X
Medical Physician Assistant
0110002862
VA
Other
Enumeration date
08/06/2008
Last updated
05/07/2021
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