Individual
DR. MICAH KEITH WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
786 D STREET, JBER, AK 99505-0004
(904) 384-0600
Mailing address
786 D STREET, JBER, AK 99505-4000
(907) 384-0600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95592
GA
Other
Enumeration date
04/20/2021
Last updated
09/19/2024
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