Individual
ALVIN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 COLUMBIA ST, HATTIESBURG, MS 39401-2801
(601) 329-9346
Mailing address
630 COLUMBIA ST, HATTIESBURG, MS 39401-2801
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
6870096
MS
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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