Individual
MR. JAMES A. WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
931 N HIGHLAND AVE, JACKSON, TN 38301-4458
(731) 988-3994
Mailing address
494 HENDERSON RD, JACKSON, TN 38305-9550
(731) 217-3694
(731) 988-3994
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT002673
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00777
PSS PROVIDER-DMRS
TN
Enumeration date
06/13/2007
Last updated
01/10/2008
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