Individual
MR. JASON WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
3443 PELHAM RD, SUITE 200, GREENVILLE, SC 29615-4178
(864) 254-9330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18127
SC
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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