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Individual

DR. ALPHA J WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
380 HOSPITAL DR, BLDG A STE 430, MACON, GA 31217-8001
(478) 744-2445
(478) 744-0906
Mailing address
380 HOSPITAL DR, BLDG A STE 430, MACON, GA 31217-8001
(478) 744-2445
(478) 744-0906

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
026043
GA
207RP1001X
Pulmonary Disease Physician
Primary
026043
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000303498E
GA
01
P00065438
MEDICARE RAILROAD
GA
Enumeration date
11/10/2005
Last updated
06/11/2008
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