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Willie Mack Watts, PA
Physician Assistant in Gray, Georgia
NPI 1679772388

Willie Mack Watts is a Physician Assistant based in Port Royal, GA. Willie Mack Watts practices in Gray, GA and has the professional credentials of PA. The NPI Number for Willie Mack Watts is 1679772388 and holds a License No. PA-184 (Georgia).

The current practice location address for Willie Mack Watts is 4292 Gray Hwy, Gray, GA and can be reached out via phone at 478-986-2500 and via fax at 478-864-1288.

Location: 4292 Gray Hwy, Gray, GA, 29935-0073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679772388
Provider Name
Willie Mack Watts
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4292 Gray Hwy, Gray, GA, 29935-0073
Phone Number
478-986-2500
Fax Number
478-864-1288
Provider Enumeration Date
07/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009911802 05 AL
institution
Provider Business Practice Location Address Details
Address
4292 Gray Hwy
City
Gray
State
Georgia
Zip
31032-5900
Phone Number
478-986-2500
Fax Number
478-864-1288
person
Provider Business Mailing Address Details
Address
4292 Gray Hwy
City
Gray
State
Georgia
Zip
31032-5900
Phone Number
478-986-2500
Fax Number
478-864-1288
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
10853 (Georgia)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA-184 (Alabama)
Definition
Definition to come...
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