Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 68809 | GA |
NPI | 1447540828 |
---|---|
Provider Name | Dr. Steven Benjamin Watson |
First Address | Smyrna, GA 30082-3522 |
Second Address | Smyrna, GA 30082-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 12/05/2017 |