| Willie Mack Watts, PA | |
|
4292 Gray Hwy, Gray, GA 31032-5900 | |
| (478) 986-2500 | |
| (478) 864-1288 |
| Full Name | Willie Mack Watts |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4292 Gray Hwy, Gray, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679772388 | NPI | - | NPPES |
| 009911802 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-184 (Alabama) | Secondary |
| 363A00000X | Physician Assistant | 10853 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Willie Mack Watts, PA Po Box 73, Port Royal, SC 29935-0073 Ph: (256) 393-9663 | Willie Mack Watts, PA 4292 Gray Hwy, Gray, GA 31032-5900 Ph: (478) 986-2500 |
Heather Lewis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481 | |
Mrs. Karen J. M. Donato, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4292 Gray Hwy, Gray, GA 31032 Phone: 478-986-2500 Fax: 478-864-1288 |