Provider Demographics
NPI:1386813442
Name:WATTS, GARRISON GRIER JR (MD)
Entity type:Individual
Prefix:
First Name:GARRISON
Middle Name:GRIER
Last Name:WATTS
Suffix:JR
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:127 E TRADE STREET
Mailing Address - Street 2:STE B 100 COMMUNITY CLINIC RUTHERFORD CO
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-3131
Mailing Address - Country:US
Mailing Address - Phone:828-245-0400
Mailing Address - Fax:828-247-9000
Practice Address - Street 1:127 E TRADE STREET
Practice Address - Street 2:STE B 100 COMMUNITY CLINIC RUTHERFORD CO
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-3131
Practice Address - Country:US
Practice Address - Phone:828-245-0400
Practice Address - Fax:828-247-9000
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC24555207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease