Individual
NELSON BARNETT WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4760 E GALBRAITH RD, STE 208, CINCINNATI, OH 45236-6703
(513) 686-2663
(513) 686-3637
Mailing address
4760 E GALBRAITH RD, STE 208, CINCINNATI, OH 45236-6703
(513) 686-2663
(513) 686-3637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-079959
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35-079959
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110247916
RAIL ROAD MEDICARE
OH
05
—
200160860
—
IN
05
—
2262368
—
OH
05
—
64037526
—
KY
Enumeration date
05/05/2006
Last updated
09/07/2012
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