Individual
ROBERT WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5808 US HIGHWAY 11, PURVIS, MS 39475
(601) 348-5460
(601) 348-1432
Mailing address
5808 US HIGHWAY 11, PURVIS, MS 39475-5052
(601) 348-5460
(601) 348-1432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15187
MS
Other
Enumeration date
06/08/2006
Last updated
08/12/2020
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