Thomas Dale Watts in Hattiesburg - Nurse Anesthetist, Certified Registered
Thomas Dale Watts - NPI 1700045853
Thomas Dale Watts is a Nurse Anesthetist, Certified Registered in Hattiesburg, Mississippi. Thomas Dale Watts practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Thomas Dale Watts is 1700045853. The last update date is 2018-01-11.
Thomas Dale Watts's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012613606 and fax number 6015795240. The mailing address for Thomas Dale Watts is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Dale Watts |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6012613606 |
| Fax Number | 6015795240 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1700045853 |
|---|---|
| Provider Enumeration Date | 2008-06-04 |
| Last Updated Date | 2018-01-11 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6012613606 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R709751 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5251201 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Thomas Dale Watts by the Centers for Medicare & Medicaid Services?
The Thomas Dale Watts has been assigned the NPI (National Provider Identifier) 1700045853 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Thomas Dale Watts's physical address?
The Thomas Dale Watts is physically located at 415 S 28Th Ave, in the city of Hattiesburg, MS, with the postal code 394017246.
What is Thomas Dale Watts's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas Dale Watts's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did the Thomas Dale Watts receive its 1700045853 assignment from the Centers for Medicare & Medicaid Services?
The Thomas Dale Watts was assigned its 1700045853 by the Centers for Medicare & Medicaid Services on 2008-06-04.
As of what date were the details related to Thomas Dale Watts most recently updated or revised?
The information pertaining to Thomas Dale Watts, including its address, specialty, and other relevant details, was last updated or revised on 2018-01-11.