Healthcare Provider Details

I. General information

NPI: 1730135328
Provider Name (Legal Business Name): HUGH BOYD WATTS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 04/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 MITCHELL AVE
SALISBURY NC
28144-6253
US

IV. Provider business mailing address

PO BOX 602362
CHARLOTTE NC
28260-2362
US

V. Phone/Fax

Practice location:
  • Phone: 704-216-5633
  • Fax: 704-639-0785
Mailing address:
  • Phone: 704-603-1403
  • Fax: 704-603-1517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number16309
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: