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Individual

JAMES A. WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1601 ABBEY PL, STE. 105, CHARLOTTE, NC 28209-3835
(704) 512-5360
(704) 512-5080
Mailing address
PO BOX 470255, CHARLOTTE, NC 28247-0255
(704) 512-5360
(704) 512-5080

Taxonomy

Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
24954
NC
208600000X
Surgery Physician
24954
NC
208D00000X
General Practice Physician
Primary
24954
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
171JK
BCBSNC
NC
05
8985934
NC
Enumeration date
11/04/2005
Last updated
10/23/2018
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