| NPI | 1457753014 |
|---|---|
| Former Legal Business Name | JEANE WATSON, INC |
| Entity Type | Organization |
| Authorized Contact | JEANE P WATSON Owner 470-333-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001066) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |