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Individual

DR. URSULA ALICE WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6920 JIMMY CARTER BLVD STE 100, NORCROSS, GA 30071-1246
(770) 449-0990
(770) 448-8818
Mailing address
625 KINGS GRANT WALK, ROSWELL, GA 30075-5528
(770) 518-1354
(770) 557-0953

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
GA 026675
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000425565G
GA URGENT CARE MCAID ID
GA
01
511I930104
GA URGENT CARE MCARE PIN
GA
01
581762046
GA CLINIC TAX ID
GA
Enumeration date
01/24/2007
Last updated
05/14/2010
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