Watson, Nichole Mccullough

Watson, Nichole Mccullough is an individual health care provider with primary practice located at 3510 N Highway 17 Ste. 320, Mt Pleasant SC 29466-8227. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Watson, Nichole Mccullough can be contacted via phone (843) 971-3361.

Contact Information

Primary practice address
3510 N Highway 17 Ste. 320 Mt Pleasant SC 29466-8227
Fax: (843) 606-8003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38882 South Carolina

Profile Details

NPI number 1881034361
LBN Legal business name Watson, Nichole Mccullough
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2013
Last updated Feb 13th, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881034361 NPPES
South Carolina MEDICAID 388823

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