Individual
DR. NANCY M WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
676 HISTORIC HWY 441 NORTH, DEMOREST, GA 30535
(706) 754-8884
(706) 754-0160
Mailing address
PO BOX 1718, 676 HISTORIC HWY 441 NORTH, DEMOREST, GA 30535-1718
(706) 754-8884
(706) 754-0160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042766
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000718121A
—
GA
01
—
042766
STATE LICENSE
GA
Enumeration date
07/27/2006
Last updated
12/07/2009
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