Individual
SALLY A WATSON
Active
Individual
SALLY A WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
MD30840
TN
208000000X
Pediatrics Physician
30840
TN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
30840
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3899766
—
TN
01
—
4025398
BCBS
—
Enumeration date
09/15/2006
Last updated
06/19/2024
Update your record
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