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Organization

WATSON RETINA LLC

Active
Other names
Watson Retina
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD WATSON (MD)
(205) 637-7123
Entity
Organization

Contact information

Practice address
4505 PINE TREE CIR STE 120, VESTAVIA, AL 35243-2380
(205) 637-7123
Mailing address
4505 PINE TREE CIR STE 120, VESTAVIA, AL 35243-2380
(205) 637-7123

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
261QM2500X
Medical Specialty Clinic/Center

Other

Enumeration date
03/23/2020
Last updated
04/11/2022
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