Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Gregory Watters, SUBIDC

Individual provider Independent Duty Corpsman · NPI 1114400918

Nicholas Gregory Watters, SUBIDC is an Independent Duty Corpsman in Groton, Connecticut. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1 Wahoo Ave
Groton, CT 06349-2324
Phone: (904) 680-8007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1114400918
Entity typeIndividual (Type 1)
GenderMale
Credentials SUBIDC
Sole proprietorNo
NPI enumeratedSeptember 8, 2018
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing address212 Brunners Ln, Moncks Corner, SC 29461-8896

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