Most Relevant Information
Provider Data
| NPI Number: | 1003415977 |
| Provider Name: | CARSON WATSON SHADIX PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 1691 |
Most Important Dates
| Enumeration Date: | 10/21/2020 |
| Last Updated: | 08/14/2023 |
Provider Practice Location
5005 OSCAR BAXTER DR
TUSCALOOSA
AL
354053698
Practice Location Phone/Fax
| Phone: | 2053432225 |
| Fax: | 2053437825 |
Provider Mailing Location
5005 OSCAR BAXTER DR
TUSCALOOSA
AL
354053698
Provider Mailing Phone/Fax
| Phone: | 2053432225 |
| Fax: | 2053437825 |