| Jason Lee Watson, MD | |
| 
					133 N Howard Ave, Landrum, SC 29356-1507  | |
| (864) 457-3838 | |
| (864) 560-9532 | 
| Full Name | Jason Lee Watson | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 133 N Howard Ave, Landrum, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417914516 | NPI | - | NPPES | 
| N00433 | Medicaid | SC | |
| 5900329 | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | TL30486 (South Carolina) | Primary | 
| 207Q00000X | Family Medicine | (North Carolina) | Secondary | 
| Entity Name | The Cleveland Clinic Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jason Lee Watson, MD Po Box 2168, Spartanburg, SC 29304-2168 Ph: (864) 560-4304  | Jason Lee Watson, MD 133 N Howard Ave, Landrum, SC 29356-1507 Ph: (864) 457-3838  | 
Amber Hendricks,  Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 E Rutherford St, Landrum, SC 29356 Phone: 864-457-4141  | |
Erin Caudill Nash, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 N Howard Ave, Landrum, SC 29356 Phone: 864-457-3838 Fax: 864-560-9532  | |
Cornelius Todd Walter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 N Howard Ave, Landrum, SC 29356 Phone: 864-560-9507  | |
Kimberly Lynn Bridges, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 N Howard Ave, Landrum, SC 29356 Phone: 864-560-9507  | |
Nicolas Seth Dawson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 133 N Howard Ave, Landrum, SC 29356 Phone: 864-457-3838 Fax: 864-560-9532  | |
Wanda J Starling, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 S Blackstock Rd, Landrum, SC 29356 Phone: 864-457-2033 Fax: 864-848-8551  |