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Individual

DR. RYAN P WATTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3510 RICHLAND AVE W, AIKEN, SC 29801-6312
(513) 238-2467
Mailing address
680 CRANE CREEK DR, APRT 228, AUGUSTA, GA 30907-3075
(513) 238-2467

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202214402
VA
183500000X
Pharmacist
Primary
36848
SC

Other

Enumeration date
09/13/2016
Last updated
09/18/2016
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