Individual
MRS. ELIZABETH JANE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
917 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 449-0453
Mailing address
917 MEDICAL CIR, MYRTLE BEACH, SC 29572-4116
(843) 449-0453
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
222055
SC
363LF0000X
Family Nurse Practitioner
222055
NC
Other
Enumeration date
09/10/2013
Last updated
05/01/2024
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