Watters, Carter

Watters, Carter is an individual health care provider with primary practice located at 1850 Chadwick Dr , Jackson MS 39204-3404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Watters, Carter can be contacted via phone (601) 376-2022.

Contact Information

Primary practice address
1850 Chadwick Dr Jackson MS 39204-3404
Phone: (601) 376-2022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18640 Mississippi
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 18640 Mississippi

Profile Details

NPI number 1437169844
LBN Legal business name Watters, Carter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Feb 1st, 2008 - about 16 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 1437169844 NPPES
Mississippi MEDICAID 01532506

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