Individual
DR. JOHN L WATTERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
643 5TH AVE W, HENDERSONVILLE, NC 28739-4205
(828) 693-5225
Mailing address
PO BOX 1820, HENDERSONVILLE, NC 28793-1820
(828) 693-3193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89138FV
—
NC
Enumeration date
03/31/2006
Last updated
07/08/2007
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