MEDICARE: ZACHARY CHANDLER WATSON

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	363A00000X	Physician Assistant	0110011666	VA

General Provider Information

NPI Number	:	1780571786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY CHANDLER WATSON

Provider Business Mailing Address
First Line	:	1060 FIRST COLONIAL RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3002
Country	:	US
Telephone Number	:	757-395-2323
Fax Number	:	757-395-6280

Provider Business Practice Location Address
First Line	:	1060 FIRST COLONIAL RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3002
Country	:	US
Telephone Number	:	757-395-2323
Fax Number	:	757-395-6280

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

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	03/19/2026

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Directions to “ ZACHARY CHANDLER WATSON ” Practice Location

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