Individual
KAREN LEIGH WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
124 VERDAE BLVD STE 204, GREENVILLE, SC 29607-3844
(864) 315-1300
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17085
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110238380
RR MEDICARE
SC
05
—
170852
—
SC
01
—
576007863063
BCBS OF SC ID
SC
01
—
7644256
AETNA ID
SC
01
—
9901859
CIGNA ID
SC
Enumeration date
06/09/2006
Last updated
07/12/2024
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