Willie Mack Watts in Gray - Physician Assistant
Willie Mack Watts - NPI 1679772388
Willie Mack Watts is a Physician Assistant in Gray, Georgia. Willie Mack Watts practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Willie Mack Watts is 1679772388. The last update date is 2022-06-13.
Willie Mack Watts's current location address is 4292 Gray Hwy, Gray, Georgia. You can contact this provider via phone number 4789862500 and fax number 4788641288. The mailing address for Willie Mack Watts is 4292 Gray Hwy, Gray, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willie Mack Watts |
|---|---|
| Address | 4292 Gray Hwy, Gray, Georgia |
| Phone Number | 4789862500 |
| Fax Number | 4788641288 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1679772388 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2022-06-13 |
Provider Mailing Address Detail
| Address | 4292 Gray Hwy |
|---|---|
| City | Gray |
| State | Georgia (GA) |
| Post Code | 310325900 |
| Phone Number | 4789862500 |
| Fax Number | 4788641288 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10853 |
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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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9911802 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Willie Mack Watts by the Centers for Medicare & Medicaid Services?
The Willie Mack Watts has been issued the NPI (National Provider Identifier) 1679772388 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Willie Mack Watts is physically located?
The Willie Mack Watts is situated at the following address: 4292 Gray Hwy, Gray, GA 310325900.
What is Willie Mack Watts's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Willie Mack Watts is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When was the Willie Mack Watts's 1679772388 issued?
The Willie Mack Watts's 1679772388 was issued on 2007-07-12.
When was the information pertaining to Willie Mack Watts most recently updated or revised?
The details related to Willie Mack Watts, including its address, specialty, and other relevant information, were last updated or revised on 2022-06-13.