Individual
DR. RUTHANNE M WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 JOHNSON AVE, BRIDGEPORT, WV 26330-1016
(681) 342-3700
(304) 848-0703
Mailing address
1511 JOHNSON AVE, BRIDGEPORT, WV 26330-1016
(681) 342-3700
(304) 848-0703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2378
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810018332
—
WV
Enumeration date
03/18/2008
Last updated
04/05/2022
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