Individual
DR. SUSANNAH WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 LARUE CT, BILTMORE LAKE, NC 28715-8969
(617) 901-7667
Mailing address
15 LARUE CT, BILTMORE LAKE, NC 28715-8969
(617) 901-7667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101250029
VA
207R00000X
Internal Medicine Physician
Primary
2012-02156
NC
207R00000X
Internal Medicine Physician
60003030
WA
Other
Enumeration date
04/09/2007
Last updated
01/02/2013
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