Individual
MR. JEFFREY WAYNE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.S.A.
Contact information
Practice address
500 INDEPENDENCE PKWY, STE 100, CHESAPEAKE, VA 23320-5187
(757) 547-9714
(757) 547-9714
Mailing address
500 INDEPENDENCE PKWY, STE 100, CHESAPEAKE, VA 23320-5187
(757) 450-9714
(757) 547-9714
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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