Individual
DARRA BAILEY WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8905
(843) 792-4607
Mailing address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL97253
SC
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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