Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD52182 | TN |
N | 207X00000X | Orthopaedic Surgeon | T-2258 | MS |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD52182 | TN |
NPI | 1427381896 |
---|---|
Provider Name | Dr. Geoffrey Ian Watson |
First Address | Nashville, TN 37232-0001 |
Second Address | Franklin, TN 37067-5973 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2009 |
Last Update Date | 30/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AU5009697-1596 | (05) | MS |
T-2258 | MS STATE LICENSE (01) | MS |