Provider Demographics
NPI:1184730517
Name:WATSON, THELMA RUTH (MD)
Entity type:Individual
Prefix:DR
First Name:THELMA
Middle Name:RUTH
Last Name:WATSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 306813
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00803-6813
Mailing Address - Country:US
Mailing Address - Phone:340-776-8311
Mailing Address - Fax:340-714-6316
Practice Address - Street 1:SCHNEIDER REGIONAL HOSPITAL
Practice Address - Street 2:9048 SUGAR ESTATE
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-776-8311
Practice Address - Fax:340-714-6316
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VI921207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIG40449Medicare UPIN