| Watson Primary Care Pllc | |
|
7833 Old Harding Pike Nashville TN 37221-3907 | |
| (615) 646-7962 | |
| (615) 646-7694 |
| Full Name | Watson Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7833 Old Harding Pike, Nashville, Tennessee |
| Authorized Official Name and Position | Stephen Mark Watson (OWNER) |
| Authorized Official Contact | 6156467694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Watson Primary Care Pllc 7833 Old Harding Pike Nashville TN 37221-3907 Ph: (615) 646-7692 | Watson Primary Care Pllc 7833 Old Harding Pike Nashville TN 37221-3907 Ph: (615) 646-7962 |
| NPI Number | 1861863961 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 12/01/2015 |
| Medicare PECOS PAC ID | 4587964309 |
|---|---|
| Medicare Enrollment ID | O20151201001605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861863961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD28746 (Tennessee) | Primary |
| Provider Name | Stephen M Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730102948 PECOS PAC ID: 8426037920 Enrollment ID: I20040719000197 |
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