Willie Mack Watts, PA

NPI #1679772388 in Gray, Georgia

Provider Information

NPI Number: 1679772388
Entity Type: Individual
Name: Willie Mack Watts, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 12, 2007
Last Updated: Jun 13, 2022

Practice Location

Address: 4292 GRAY HWY
City: Gray
State: Georgia
ZIP Code: 31032-5900
Phone: (478) 986-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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