Individual
CORALIE MARIE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
23 SUNNYBROOK RD, RALEIGH, NC 27610-1855
(919) 350-1570
(919) 790-0108
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(877) 498-4490
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13315
NC
Other
Enumeration date
09/18/2023
Last updated
12/08/2023
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