Individual
MS. ANN KATHERINE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
214 DOCTORS ST, SPARTA, NC 28675-9247
(336) 372-5606
(336) 372-6211
Mailing address
214 DOCTORS ST, SPARTA, NC 28675
(336) 372-5606
(336) 372-6211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100897
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00103094
RAILROAD MEDICARE
NC
01
—
P00106094
UNITED HEALTHCARE
—
Enumeration date
02/06/2006
Last updated
04/30/2008
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