Watts, Samuel Edward

Watts, Samuel Edward is an individual health care provider with primary practice located at 222 E Medical Ln Ste 100&200 , West Columbia SC 29169-4847. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Watts, Samuel Edward can be contacted via phone (803) 935-8410.

Contact Information

Primary practice address
222 E Medical Ln Ste 100&200 West Columbia SC 29169-4847
Phone: (803) 935-8410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 21129 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 21129 South Carolina

Profile Details

NPI number 1376066159
LBN Legal business name Watts, Samuel Edward
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2017
Last updated Dec 20th, 2022 - about 2 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 1376066159 NPPES
South Carolina MEDICAID NP4752

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