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NPI Code Detail

MEDICARE: CALLIE WATSON

MEDICARE: CALLIE WATSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1043976673
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALLIE WATSON
Provider Business Mailing Address
First Line : 6100 VETERANS PKWY STE 11
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-3514
Country : US
Telephone Number : 706-221-8966
Fax Number :
Provider Business Practice Location Address
First Line : 6100 VETERANS PKWY STE 11
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-3514
Country : US
Telephone Number : 706-221-8966
Fax Number : 706-221-8967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2021
Last Update Date : 03/17/2026

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Directions to “ CALLIE WATSON ” Practice Location

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