Individual
JOSEPH E WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 MEDICAL CENTER DR, SUITE 205, GADSDEN, AL 35903-1134
(256) 456-0226
(256) 456-0231
Mailing address
100 MEDICAL CENTER DR, SUITE 205, GADSDEN, AL 35903-1134
(256) 456-0226
(256) 456-0231
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-055
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168709
—
AL
Enumeration date
03/31/2006
Last updated
10/08/2016
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