Most Relevant Information
Provider Data
| NPI Number: | 1003544073 |
| Provider Name: | XAVIER ANTOINE WATTS |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/09/2022 |
| Last Updated: | 08/30/2022 |
Provider Practice Location
24 CARTERS GREEN DR
GREENVILLE
SC
296055998
Practice Location Phone/Fax
| Phone: | 8646842022 |
| Fax: |
Provider Mailing Location
24 CARTERS GREEN DR
GREENVILLE
SC
296055998
Provider Mailing Phone/Fax
| Phone: | 8646842022 |
| Fax: |