Provider Demographics
NPI:1568683878
Name:WATTS, AIMEE ROBINSON (MD)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:ROBINSON
Last Name:WATTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 GOVERNMENT ST STE 2525
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-3954
Mailing Address - Country:US
Mailing Address - Phone:228-818-0025
Mailing Address - Fax:228-818-0027
Practice Address - Street 1:2113 GOVERNMENT ST
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-3954
Practice Address - Country:US
Practice Address - Phone:228-818-0025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS21223174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS01507725Medicaid
TN4273617OtherBCBS
MS07054761Medicaid
TN4273617OtherBCBS