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Individual

MATILDA LEE WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, APRN, AGPCNP-BC

Contact information

Practice address
255 ENTERPRISE BLVD STE 101, GREENVILLE, SC 29615-3530
(864) 454-8120
(864) 454-8125
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
25283
SC

Other

Enumeration date
11/01/2021
Last updated
01/07/2022
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