Individual
JACOB WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1 COLLEGE ST, YOUNG HARRIS, GA 30582-4137
(706) 379-5175
Mailing address
1 COLLEGE ST, YOUNG HARRIS, GA 30582-4137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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