Individual
DAMOND WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1139 MACON HALL RD, CORDOVA, TN 38018-6586
(901) 628-0893
Mailing address
1139 MACON HALL RD, CORDOVA, TN 38018-6586
(901) 628-0893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128476
TN
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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