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General NPI Number Information
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NPI Number | 1134249675
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Entity Type | Individual
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Provider Name | BYRON MAURICE WATSON MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 204 SPRING ST SUITE E & F
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City | MACON
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State | GA
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Zip | 31201-1927
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Country | US
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Telephone | 478-746-9898
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Fax | 478-746-9849
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Provider Business Mailing Address
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Address Line | 142 WATERS EDGE DR
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City | LIZELLA
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State | GA
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Zip | 31052-3629
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Country | US
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Telephone | 478-731-8777
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Fax | 478-731-8777
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 032673
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License Number State | GA
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