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NPI Code Detail

MEDICARE: JULIA WATSON MD

MEDICARE:   JULIA  WATSON  MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramRS2025-0011NM
2390200000XStudent in an Organized Health Care Education/Training Program1022562MA

General Provider Information

NPI Number : 1194308338
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA WATSON MD
Provider Business Mailing Address
First Line : 1200 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1020
Country : US
Telephone Number : 336-832-7272
Fax Number : 336-832-8641
Provider Business Practice Location Address
First Line : 136 HARRISON AVE
Second Line :
City : BOSTON
State : MA
Zip : 02111-1800
Country : US
Telephone Number : 336-832-7272
Fax Number : 336-832-8641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2021
Last Update Date : 03/21/2025

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