Individual
DR. JERRY FRANKLIN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 8TH ST, N WILKESBORO, NC 28659-4127
(336) 667-1183
(336) 667-4836
Mailing address
PO BOX 818, 301 8TH ST, N WILKESBORO, NC 28659-0818
(336) 667-1183
(336) 667-4836
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17810
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8985985
—
NC
Enumeration date
01/06/2006
Last updated
07/08/2007
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