Individual
DR. MARY TALLY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7880 OLD MADISON PIKE, MADISON, AL 35758-1435
(256) 772-8711
(256) 772-8738
Mailing address
15933 CLAYTON RD, SUITE 201, BALLWIN, MO 63011-2172
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S817TA165
AL
Other
Enumeration date
08/30/2005
Last updated
11/15/2016
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