Provider Demographics
NPI:1780624817
Name:WATSON, GALE R (CLVT)
Entity type:Individual
Prefix:
First Name:GALE
Middle Name:R
Last Name:WATSON
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Gender:F
Credentials:CLVT
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Mailing Address - Street 1:1670 CLAIRMONT RD
Mailing Address - Street 2:ATLANTA VA MEDICAL CENTER 151-R
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-4004
Mailing Address - Country:US
Mailing Address - Phone:404-321-6111
Mailing Address - Fax:404-278-4837
Practice Address - Street 1:1670 CLAIRMONT RD
Practice Address - Street 2:ATLANTA VA MEDICAL CENTER 151-R
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4004
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:404-278-4837
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind