| Mary Watson MD | |
|
608 Dogwood Dr Ne Pelham GA 31779-1132 | |
| (850) 815-0063 | |
| Not Available |
| Full Name | Mary Watson MD |
|---|---|
| Speciality | Family Medicine |
| Location | 608 Dogwood Dr Ne, Pelham, Georgia |
| Authorized Official Name and Position | Mary Watson (OWNER) |
| Authorized Official Contact | 8508150063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Watson MD 3361 Shadowmoss Dr Tallahassee FL 32308-5678 | Mary Watson MD 608 Dogwood Dr Ne Pelham GA 31779-1132 Ph: (850) 815-0063 |
| NPI Number | 1093475824 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093475824 | NPI | - | NPPES |
| 1053549444 | Other | NPI | |
| 86385 | Other | GA | GA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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