| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ZACKARY CHARLES WATSON | 1588234033 | 2023-03-31 |
Zackary Charles Watson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588234033. Registration indicates Zackary Charles Watson is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Zackary Charles Watson |
| Practice Office Address | 1321 CEDAR LN TULLAHOMA, TN US |
| Practice Office Telephone | 9312224207 |
| Mailing Address | 415 W GOLF RD STE 26 ARLINGTON HEIGHTS, IL 600053923 US |
| Business Telephone | 2247778034 |
| Business Fax | 2242364900 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 24623 Union Hill Rd | Ardmore, TN 384493101 | 9314722143 |
| 32 Memorial Dr | Winchester, TN 373982400 | 9319670200 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA.2066
AL |
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 5284
TN |