Organization
ASHLAND EAR, NOSE & THROAT CLINIC, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WATSON MD (OWNER)
(606) 324-1188
Entity
Organization
Contact information
Practice address
2301 LEXINGTON AVE, ASHLAND, KY 41101-2873
(606) 324-1188
(606) 325-3843
Mailing address
PO BOX 1717, ASHLAND, KY 41105-1717
(606) 324-1188
(606) 325-3843
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
17669
KY
Other
Enumeration date
09/13/2006
Last updated
11/04/2010
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