Individual
DANIEL DEAN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1908 CAUDLE DR STE 100, MOUNT AIRY, NC 27030-4322
(336) 883-0029
(336) 883-0867
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
(336) 883-0867
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
5010209
NC
363LF0000X
Family Nurse Practitioner
5010209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730687476
—
NC
Enumeration date
01/29/2018
Last updated
12/09/2021
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