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NPI Code Detail

MEDICARE: STEVE ADDISON WATSON PA-C

MEDICARE: STEVE ADDISON WATSON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0010-00590NC

General Provider Information

NPI Number : 1265699649
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVE ADDISON WATSON PA-C
Provider Business Mailing Address
First Line : 200 WELLESLEY TRADE LN
Second Line :
City : CARY
State : NC
Zip : 27519-5576
Country : US
Telephone Number : 919-363-7546
Fax Number : 919-363-3616
Provider Business Practice Location Address
First Line : 200 WELLESLEY TRADE LN
Second Line :
City : CARY
State : NC
Zip : 27519-5576
Country : US
Telephone Number : 919-363-7546
Fax Number : 919-363-3616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2008
Last Update Date : 04/09/2019

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Directions to “ STEVE ADDISON WATSON PA-C” Practice Location

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