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Mr. Michael D Watson, PA-C
Medical Physician Assistant in Bolivia, North Carolina
NPI 1407574056

Michael D Watson is a Medical Physician Assistant based in Bolivia, NC and is specialized in Medical. Michael D Watson practices in Bolivia, NC and has the professional credentials of PA-C. The NPI Number for Michael D Watson is 1407574056 and holds a License No. 0010-13810 (North Carolina).

The current practice location address for Michael D Watson is 113 Kite Cir Ne, Bolivia, NC and can be reached out via phone at 907-885-7779.

Location: 113 Kite Cir Ne, Bolivia, NC, 28422-3805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407574056
Provider Name
Michael D Watson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
113 Kite Cir Ne, Bolivia, NC, 28422-3805
Phone Number
907-885-7779
Fax Number
Provider Enumeration Date
08/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0010-13830 01 NC MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
113 Kite Cir Ne
City
Bolivia
State
North Carolina
Zip
28422-3805
Phone Number
907-885-7779
Fax Number
person
Provider Business Mailing Address Details
Address
113 Kite Cir Ne
City
Bolivia
State
North Carolina
Zip
28422-3805
Phone Number
907-885-7779
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0010-13810 (North Carolina)
Definition
Definition to come...
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