Individual
SCOTT THOMAS WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11402 ANDERSON RD STE A, GREENVILLE, SC 29611
(864) 631-2799
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6174
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
32625
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
32625
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326258
—
SC
Enumeration date
06/06/2010
Last updated
10/18/2018
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