MEDICARE: DR. SIMON C WATSON MD

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	207P00000X	Emergency Medicine Physician	30538	SC
2	207P00000X	Emergency Medicine Physician	2004-00774	NC

General Provider Information

NPI Number	:	1982732244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIMON C WATSON MD

Provider Business Mailing Address
First Line	:	169 ASHLEY AVE
Second Line	:	MSC 300
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8905
Country	:	US
Telephone Number	:	843-792-9707
Fax Number	:

Provider Business Practice Location Address
First Line	:	169 ASHLEY AVE
Second Line	:	MSC 300
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8905
Country	:	US
Telephone Number	:	843-792-9707
Fax Number	:

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

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	10/15/2020

Similar Medicare Providers

1417741455 — GABRIELLE OLIVIA WINDSOR MD
Practice Location Address:

169 ASHLEY AVE # MSC333
CHARLESTON, SC
29425-8905

Practice Phone: 843-792-1767
Practice Fax:

1871230029 — ROSALIE DOESCHER DO
Practice Location Address:

169 ASHLEY AVE RM 202
CHARLESTON, SC
29425-8905

Practice Phone: 843-792-2571
Practice Fax: 843-792-7878

1215861109 — ALEXIS NOELLE VETACK MD
Practice Location Address:

169 ASHLEY AVE RM 202
CHARLESTON, SC
29425-8905

Practice Phone: 843-792-0435
Practice Fax:

1942134853 — LORI CAROL DOMANICO MD
Practice Location Address:

169 ASHLEY AVE
CHARLESTON, SC
29425-8905

Practice Phone: 843-792-8972
Practice Fax:

1689938979 — DR. CHRISTOPHER PRESTEL M.D.
Practice Location Address:

165 ASHLEY AVE # MSC561
CHARLESTON, SC
29425-8905

Practice Phone: 843-792-8972
Practice Fax:

1881890648 — DR. NEAL KEVIN MARU M.D.
Practice Location Address:

169 ASHLEY AVE
CHARLESTON, SC
29425-8905

Practice Phone: 843-792-1414
Practice Fax:

1467262196 — ERIN ELIZABETH BRIGGS
Practice Location Address:

169 ASHLEY AVE RM 202
CHARLESTON, SC
29425-8905

Practice Phone: 843-876-1344
Practice Fax:

Directions to “ DR. SIMON C WATSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.