Healthcare Provider Details

I. General information

NPI: 1952514481
Provider Name (Legal Business Name): FRANCIS MARION WATSON JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 SWALLOW HOLW
WILMINGTON DE
19807-1717
US

IV. Provider business mailing address

PO BOX 406
ROCKLAND DE
19732-0406
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-9191
  • Fax:
Mailing address:
  • Phone: 302-655-9191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number11729
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: