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Jamal Watson

Specialist/Technologist, Athletic Trainer in Marietta, GA. Individual provider (NPI-1).

NPI number1982129565
StatusActive
Last updated in NPPESAug 4, 2017

Details

NPI
1982129565
Entity type
Individual (NPI-1)
Name
Jamal Watson
Sex
Male
Sole proprietor
No
Enumeration date
Aug 4, 2017
Last updated
Aug 4, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

3224 Lassiter Rd
Marietta, GA 30062-5142

Phone 770-640-6910

Mailing address

1 College St
Young Harris, GA 30582-4137

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