Individual
JOHN COMER WATTS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 ROBERTSON BLVD, WALTERBORO, SC 29488-3081
(843) 781-7428
(843) 781-7429
Mailing address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(803) 254-3676
(803) 254-3678
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
86212
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
862123
—
SC
Enumeration date
04/29/2021
Last updated
04/23/2025
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