Individual
XAVIER ANTOINE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 CARTERS GREEN DR, GREENVILLE, SC 29605-5998
(864) 684-2022
Mailing address
24 CARTERS GREEN DR, GREENVILLE, SC 29605-5998
(864) 684-2022
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
056515
SC
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/09/2022
Last updated
08/30/2022
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