Byron Kent Watts Jr.

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · University, MS

NPI 1831826064 · NPPES record last updated Aug 8, 2022

Key facts

NPI
1831826064
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
908 All American Dr.
University, MS 38677
Phone
(662) 915-7167
NPI assigned
Aug 8, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

908 All American Dr.
University, MS 38677

Mailing address

908 All American Dr.
University, MS 38677
Phone (662) 915-7167

Other providers in University, MS

All providers in University, MS · Student in an Organized Health Care Education/Training Program in Mississippi

Sources for this page

Verify at the official NPI Registry.