Organization
G.V. SONNY MONTGOMERY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMATHA TENILLE WATSON RRT (REGISTERED RESPIRATORY THERAPIST)
(601) 362-4471
Entity
Organization
Contact information
Practice address
425 BEASLEY RD APT K5, JACKSON, MS 39206-2929
(601) 362-4471
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
RCP4433
MS
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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