Healthcare Provider Details

I. General information

NPI: 1033733571
Provider Name (Legal Business Name): ARCHIBALD MORRIS WATSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 E DERENNE AVE
SAVANNAH GA
31405-6736
US

IV. Provider business mailing address

230 E DERENNE AVE
SAVANNAH GA
31405-6736
US

V. Phone/Fax

Practice location:
  • Phone: 912-790-4000
  • Fax: 912-352-9031
Mailing address:
  • Phone: 912-790-4000
  • Fax: 912-352-9031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number104577
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: