Individual
ELEANOR WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 939-7000
Mailing address
3051 SKYLARK CIR, HOOVER, AL 35244-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13684096-1206
UT
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
03/02/2022
Last updated
12/10/2024
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