Individual
DR. ROSSIE EDWARD WATTS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10060 TWO NOTCH RD, COLUMBIA, SC 29223-4396
(803) 788-1597
Mailing address
1 COOPERSMITH, COLUMBIA, SC 29229-9055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
924
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04018
SPECTERA
SC
05
—
DO9248
—
SC
Enumeration date
06/01/2006
Last updated
07/08/2007
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