Individual
JEROME THOMAS WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
293 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 872-8711
(704) 872-5866
Mailing address
766 HARTNESS RD STE B, STATESVILLE, NC 28677-3485
(704) 873-5667
(704) 883-3228
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9800413
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
498003002
DMERC
NC
05
—
891129M
—
NC
Enumeration date
06/17/2005
Last updated
02/14/2026
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