Individual
MRS. BLYTHE J WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
811 13TH ST STE 20, AUGUSTA, GA 30901-2771
(706) 722-3401
(706) 724-6540
Mailing address
811 13TH ST STE 20, AUGUSTA, GA 30901-2771
(706) 722-3401
(706) 724-6540
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0005551
GA
Other
Enumeration date
01/09/2007
Last updated
10/15/2013
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