Individual
ANGELA D WATSON
Active
Individual
ANGELA D WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1489
TN
207R00000X
Internal Medicine Physician
18099
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1416612
BCBS, BLUE CARE, TENNCARE SELECT
TN
05
—
3717056
—
TN
01
—
4074254
BCBSTN
TN
01
—
P00156491
RAILROAD MEDICARE
TN
Enumeration date
11/30/2006
Last updated
03/29/2024
Update your record
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