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MR. JOSEPH HOLLAND WATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 939-7143
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 242-1131

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-081044
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051517638
ARM BCBS #
AL
05
051554164
AL
01
515-29921
BCBS OF AL PIN
AL
01
P00078058
ARM RAILROAD MEDICARE #
AL
01
P00268831
MEDICARE RAILROAD PIN
AL
Enumeration date
06/22/2006
Last updated
06/22/2010
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