Individual
JAMES R. WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 12TH ST, STE 1B, MERIDIAN, MS 39301-4158
(601) 703-9231
(601) 703-6794
Mailing address
PO BOX 127, MERIDIAN, MS 39302-0127
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14577
MS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
14577
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123750
—
MS
05
—
009937715
—
AL
01
—
730-12368
BLUE CROSS OF AL
—
Enumeration date
11/25/2005
Last updated
11/09/2013
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