Individual
LARRY T. WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10650 PARK RD, CHARLOTTE, NC 28210-8538
(704) 667-3840
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
9700154
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
9700154
NC
Other
Enumeration date
08/16/2006
Last updated
07/23/2024
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