Individual
CARRIE DAWN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 HERLONG AVE S STE G, ROCK HILL, SC 29732-1182
(803) 909-6300
(803) 909-6310
Mailing address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(678) 386-1753
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
835698
SC
208600000X
Surgery Physician
OS14726
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
835699
—
SC
Enumeration date
02/17/2011
Last updated
12/03/2021
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