Individual
AUDREY MAVIS WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6 DOCTORS CIR, SUPPLY, NC 28462-6357
(540) 958-8048
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(540) 958-8048
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15447
NC
Other
Enumeration date
04/16/2025
Last updated
07/10/2025
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