Individual
DR. DANIEL LEE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 HAWTHORNE LN STE 300, CHARLOTTE, NC 28204-2433
(704) 372-5180
(704) 337-8387
Mailing address
PO BOX 36488, CHARLOTTE, NC 28236-6488
(704) 248-3400
(704) 337-8387
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9600768
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2226491D
NORTH CAROLINA MEDICARE #
NC
01
—
24235
PARTNERS MCRE PROV#
NC
01
—
340016943
RAILROAD MCRE PROV#
NC
01
—
85978
BCBS NC INDI PROVIDER #
NC
Enumeration date
06/15/2006
Last updated
11/08/2017
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