Individual
DEBORAH CLARK WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
810 REGAL DR SW, HUNTSVILLE, AL 35801-5603
(256) 534-6556
Mailing address
810 REGAL DR SW, HUNTSVILLE, AL 35801-5603
(256) 534-6556
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4460
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51018415
BLUE CROSS BLUE SHIELD
AL
01
—
51506256
FEDERAL BLUE CROSS
AL
Enumeration date
11/07/2005
Last updated
07/08/2007
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