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Individual
DR. JAMES FREASE WATKINS
Active
Individual
DR. JAMES FREASE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-35626
KS
208600000X
Surgery Physician
81718
MA
2086S0102X
Surgical Critical Care Physician
04-35626
KS
2086S0102X
Surgical Critical Care Physician
81718
MA
2086S0127X
Trauma Surgery Physician
Primary
81718
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035960
NHP
MA
01
—
1076810
AETNA HMO
MA
01
—
17-02030
UNITED
MA
01
—
4659658
AETNA PPO
MA
01
—
7577762
CIGNA
MA
01
—
AA41810
HPHC
MA
01
—
J29266
BCBS
MA
Enumeration date
11/08/2006
Last updated
07/05/2016
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