Individual
MICHAEL D WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8644 SUDLEY RD STE 118, MANASSAS, VA 20110-4425
(571) 833-7951
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
226901
NC
208C00000X
Colon & Rectal Surgery Physician
Primary
0101282796
VA
Other
Enumeration date
03/22/2017
Last updated
12/03/2024
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