Individual
DR. SUSAN AUSTIN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11081 FOREST PINES DR, RALEIGH, NC 27614-7655
(252) 231-0424
(252) 231-0580
Mailing address
512 SHADY CIRCLE DR, ROCKY MOUNT, NC 27803-1715
(252) 231-0424
(252) 231-0580
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101039474
VA
207W00000X
Ophthalmology Physician
Primary
30512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86013
BCBS
NC
05
—
8986013
—
NC
Enumeration date
03/31/2006
Last updated
11/08/2019
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