Individual
ELIAS CALVIN WATSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 PRINCETON AVE SW, SUITE 520, BIRMINGHAM, AL 35211-1310
(205) 780-5995
(205) 780-5997
Mailing address
801 PRINCETON AVE SW, SUITE 520, BIRMINGHAM, AL 35211-1310
(205) 780-5995
(205) 780-5997
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3649
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000006669
—
AL
Enumeration date
12/02/2005
Last updated
09/14/2009
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