Provider Information for 1710181672
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ALVIN F WATSON Jr.
Sex: Male
NPI: 1710181672
Last Updated: 2022-05-03
Certification Date: 2022-05-03
Certification Date: 2022-05-03
Details
| Name | Value | ||||||||||||
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| NPI | 1710181672 | ||||||||||||
| Enumeration Date | 2007-06-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 400 N FANT ST SUITE D ANDERSON, SC 29621-5720 United States Phone: 864-226-1166 | Fax:864-226-5647 | ||||||||||||
| Primary Practice Address | 400 N FANT ST SUITE D ANDERSON, SC 29621-5720 United States Phone: 864-226-1166 | Fax:864-226-5647 | ||||||||||||
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