Individual
DR. JOHN DEVIN BLACKWELL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(702) 460-1720
Mailing address
2 SCHOONER LN, OCEAN SPRINGS, MS 39564-5049
(210) 238-5375
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101251335
VA
2086S0129X
Vascular Surgery Physician
0101251335
VA
2086S0129X
Vascular Surgery Physician
Primary
28756
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01802274
—
MS
Enumeration date
04/05/2010
Last updated
01/15/2024
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