Individual
MR. MICHAEL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
900 E OAK HILL AVE, KNOXVILLE, TN 37917-4522
(865) 545-8000
Mailing address
PO BOX 634760, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
312
TN
363A00000X
Physician Assistant
MW0564333
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4065360
BLUE CROSS
TN
01
—
P00037511
RAILROAD MEDICARE
TN
Enumeration date
06/06/2006
Last updated
06/11/2024
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