Basic Information
| Provider Information | |||||||||
| NPI: | 1790932036 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WATSON | ||||||||
| FirstName: | RANA | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 241467 | ||||||||
| Address2: | |||||||||
| City: | MONTGOMERY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 361241467 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3343561111 | ||||||||
| FaxNumber: | 3343569873 | ||||||||
| Practice Location | |||||||||
| Address1: | 3283 MALCOLM DR | ||||||||
| Address2: | |||||||||
| City: | MONTGOMERY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 361168816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3343561111 | ||||||||
| FaxNumber: | 3343569873 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2008 | ||||||||
| LastUpdateDate: | 08/19/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 2249 | AL | Y | Chiropractic Providers | Chiropractor |
No ID Information.