Individual
PAMELA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 E OGLETHORPE HWY, HINESVILLE, GA 31313-2804
(843) 577-5011
Mailing address
500 E OGLETHORPE HWY, HINESVILLE, GA 31313-2804
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN229544
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN229544
GA
Other
Enumeration date
04/04/2016
Last updated
10/04/2017
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