Individual
SHANNON WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
609 S 2ND ST, SMITHFIELD, NC 27577-4343
(984) 255-5443
Mailing address
609 S 2ND ST, SMITHFIELD, NC 27577-4343
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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