Individual
MICHAEL A WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1348 WALTON WAY, SUITE 5700, AUGUSTA, GA 30901-5110
(706) 722-8242
(706) 722-8351
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
23415
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000241062B
—
GA
01
—
780000321
RAILROAD MEDICARE
—
05
—
G23415
—
SC
Enumeration date
12/12/2006
Last updated
05/21/2012
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