Watson, Jerry E
Watson, Jerry E is an sole proprietor health care provider with primary practice located at 920 Doug White Dr Ste 510 , Myrtle Beach SC 29572-4120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Watson, Jerry E can be contacted via phone (843) 497-7772.Contact Information
Primary practice address
920 Doug White Dr Ste 510
Myrtle Beach SC 29572-4120
Phone: (843) 497-7772
Fax: (843) 848-7530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 14980 | South Carolina |
Profile Details
| NPI number | 1174519896 |
|---|---|
| LBN Legal business name | Watson, Jerry E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Feb 10th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174519896 | NPPES |
| South Carolina | MEDICAID | 149805 |
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