Individual
TERRI-ANN WATTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 769-0976
(540) 857-5383
Mailing address
102 HIGHLAND AVE SE STE 404, ROANOKE, VA 24013-2232
(540) 985-9812
(540) 985-5328
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101-053004
VA
208600000X
Surgery Physician
Primary
0101053004
VA
208600000X
Surgery Physician
01068504A
IN
2086S0120X
Pediatric Surgery Physician
01068504A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200993180
—
IN
05
—
7309929
—
VA
Enumeration date
02/02/2006
Last updated
09/07/2023
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