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Individual

DR. JOHN C WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1839 E GARRISON BLVD, GASTONIA, NC 28054-4839
(704) 864-2685
(704) 864-9363
Mailing address
1839 E GARRISON BLVD, GASTONIA, NC 28054-4839
(704) 864-2685
(704) 864-9363

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38457
NC
2080A0000X
Pediatric Adolescent Medicine Physician
38457
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8986041
NC
Enumeration date
09/13/2005
Last updated
09/09/2011
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