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Individual
JEREMIAH RAY WATKINS
Active
Individual
JEREMIAH RAY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
59231
GA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
059231
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126490C
—
GA
05
—
003126490D
—
GA
01
—
059231
STATE LICENCSE
GA
01
—
11016
MED DIRECTOR LIC
GA
01
—
160548
STATE MED LIC
FL
01
—
2022-03227
STATE MED LIC
NC
01
—
89012
STATE MED LIC
SC
01
—
V0576
STATE MED LIC
TX
Enumeration date
11/20/2007
Last updated
09/24/2026
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