Provider Demographics
NPI:1821297854
Name:WATTSMED PC
Entity Type:Organization
Organization Name:WATTSMED PC
Other - Org Name:ELI M WATTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELI
Authorized Official - Middle Name:M
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-327-4600
Mailing Address - Street 1:2001 CHARLOTTE AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2032
Mailing Address - Country:US
Mailing Address - Phone:615-327-4600
Mailing Address - Fax:615-327-4608
Practice Address - Street 1:2001 CHARLOTTE AVE
Practice Address - Street 2:STE 101
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2032
Practice Address - Country:US
Practice Address - Phone:615-327-4600
Practice Address - Fax:615-327-4608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN10067209OtherAMERIGROUP
TN4110618OtherBCBS
TN7426642OtherAETNA
TN4110618OtherBCBS
TNH92025Medicare UPIN