Individual
NICHOLE MCCULLOUGH WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3510 N HIGHWAY 17, STE. 320, MT PLEASANT, SC 29466-8227
(843) 971-3361
(843) 606-8003
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38882
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388823
—
SC
Enumeration date
06/28/2013
Last updated
02/13/2025
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