Nancy M Watson MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042766 Issued in GA

Legal business name

NANCY M WATSON MD PC

Practice address

676 441 Historic Hwy N
Demorest, GA 30535-4523

Phone

(706) 754-8884

NPI assigned

Dec 22, 2010

Last updated

Dec 22, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Carl Watson

Title

Cfo

Phone

(706) 754-8884

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1053615641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1718",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305351718",
            "telephone_number": "706-754-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 441 HISTORIC HWY N",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354523",
            "telephone_number": "706-754-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY M WATSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-754-8884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000718121A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Demorest, GA
• Providers in Demorest, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.