Watson, Derek Scott

Watson, Derek Scott is an individual health care provider with primary practice located at 727 Se Main St Suite 130, Simpsonville SC 29681-3247. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Watson, Derek Scott can be contacted via phone (864) 454-6560.

Contact Information

Primary practice address
727 Se Main St Suite 130 Simpsonville SC 29681-3247
Phone: (864) 454-6560
Fax: (864) 454-6565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 19376 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 19376 South Carolina

Profile Details

NPI number 1699883454
LBN Legal business name Watson, Derek Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Apr 11th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699883454 NPPES
South Carolina Other 576007863173 BCBS
South Carolina Other P00392345 BCBS
South Carolina MEDICAID T33951 BCBS

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