Individual
MR. MICHAEL WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SF-IDC
Contact information
Practice address
1713 COUNTY ROAD 717, ENTERPRISE, AL 36330-6105
(334) 447-8023
Mailing address
1713 COUNTY ROAD 717, ENTERPRISE, AL 36330-6105
(334) 447-8023
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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