Individual
DR. CHRISTOPHER ROY WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1212 CEDARHURST DRIVE, SUITE 102, RALEIGH, NC 27609
(919) 431-9911
(919) 850-1397
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-5041
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34194
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2337261
MEDICARE GROUP
NC
05
—
8986021
—
NC
Enumeration date
01/09/2006
Last updated
06/07/2013
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