Most Relevant Information
Provider Data
| NPI Number: | 1003285461 |
| Provider Name: | TIMOTHY R WATSON FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95003063 |
Most Important Dates
| Enumeration Date: | 09/16/2015 |
| Last Updated: | 02/23/2016 |
Provider Practice Location
ACUTE CARE AND FAMILY CLININC 351 PEOPLES DR
351 PEOPLES DR
PONTOTOC
MS
38863
Practice Location Phone/Fax
| Phone: | 6624892777 |
| Fax: |
Provider Mailing Location
11 CR 4091
OXFORD
MS
38655
Provider Mailing Phone/Fax
| Phone: | 2516049639 |
| Fax: |