MEDICARE: DR. JOSHUA THOMAS WATSON 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	207R00000X	Internal Medicine Physician	MDR-4640	HI
2	207RG0100X	Gastroenterology Physician	69272	GA
3	207RG0100X	Gastroenterology Physician	37883	SC
4	208D00000X	General Practice Physician	69272	GA
5	207R00000X	Internal Medicine Physician	37883	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	69272	OTHER	GA	STATE LICENCE
2	MD37883	OTHER	SC	SC LICENSE
3	MDR-4640	OTHER	HI	HI LICENSE NUMBER

General Provider Information

NPI Number	:	1831171461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA THOMAS WATSON M.D.

Provider Business Mailing Address
First Line	:	1300 HOSPITAL DR
Second Line	:	STE 300
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3261
Country	:	US
Telephone Number	:	843-884-5200
Fax Number	:	843-884-6417

Provider Business Practice Location Address
First Line	:	1300 HOSPITAL DR
Second Line	:	STE 300
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-3261
Country	:	US
Telephone Number	:	843-884-5200
Fax Number	:	843-884-6417

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

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	03/22/2024

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Directions to “ DR. JOSHUA THOMAS WATSON M.D.” Practice Location

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