MEDICARE: AIMEE ROBINSON WATTS M.D.

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
1	174400000X	Specialist	21223	MS
2	207V00000X	Obstetrics & Gynecology Physician	21223	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4273617	OTHER	TN	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568683878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE ROBINSON WATTS M.D.

Provider Business Mailing Address
First Line	:	2113 GOVERNMENT ST STE 2525
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3954
Country	:	US
Telephone Number	:	228-818-0025
Fax Number	:	228-818-0027

Provider Business Practice Location Address
First Line	:	2113 GOVERNMENT ST
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-3954
Country	:	US
Telephone Number	:	228-818-0025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	01/29/2021

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