Nicholas Gregory Watters, SUB IDC
NPI #1114400918 in Groton, Connecticut
Provider Information
- NPI Number
- 1114400918
- Entity Type
- Individual
- Name
- Nicholas Gregory Watters, SUB IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- SUB IDC
- Enumeration Date
- Sep 8, 2018
- Last Updated
- May 6, 2025
Practice Location
- Address
- 1 WAHOO AVE
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06349-2324
- Phone
- (904) 680-8007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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