Provider Demographics
NPI:1982408175
Name:WATTERSON, MATTHEW COLEMAN (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:COLEMAN
Last Name:WATTERSON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 CENTER ST # N-3104
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-1541
Mailing Address - Country:US
Mailing Address - Phone:251-665-8200
Mailing Address - Fax:251-665-8255
Practice Address - Street 1:1601 CENTER ST # N-3104
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1541
Practice Address - Country:US
Practice Address - Phone:251-665-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program