person
Jack W Mcwatters, MD
Specialist in Columbia, Maryland
NPI 1083681118

Jack W Mcwatters is a Specialist based in Columbia, MD. Jack W Mcwatters practices in Columbia, MD and has the professional credentials of MD. The NPI Number for Jack W Mcwatters is 1083681118 and holds a License No. D27237 (Maryland).

The current practice location address for Jack W Mcwatters is 11085 Little Patuxent Pkwy, Columbia, MD and can be reached out via phone at 410-997-7979 and via fax at 410-997-9231.

Location: 11085 Little Patuxent Pkwy, Columbia, MD, 21044-2983
person
Provider Profile Details
NPI Number
1083681118
Provider Name
Jack W Mcwatters
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11085 Little Patuxent Pkwy, Columbia, MD, 21044-2983
Phone Number
410-997-7979
Fax Number
410-997-9231
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005 01 MD CAREFIRST BCBS PPO,SPP,BC
04071 01 MD AMERIGROUP
21750 01 MD JHHC
403161000 05 MD
0481422 01 MD AETNA HEALTHCARE HMO
2500675 01 MD UNITED HEALTHCARE
225079 01 MD MAMSI CARDIOLOGY
35016302 01 MD CAREFIRST BCBS MD
4105495 01 MD AETNA HEALTHCARE NON-HMO
institution
Provider Business Practice Location Address Details
Address
11085 Little Patuxent Pkwy
City
State
Zip
21044-2983
Phone Number
410-997-7979
Fax Number
410-997-9231
person
Provider Business Mailing Address Details
Address
11085 Little Patuxent Pkwy
City
State
Zip
21044-2983
Phone Number
410-997-7979
Fax Number
410-997-9231
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
D27237 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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