Individual
KINSEY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
626 1ST ST, MACON, GA 31201-2805
(478) 743-4666
Mailing address
626 1ST ST, MACON, GA 31201-2805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003110
GA
Other
Enumeration date
05/29/2018
Last updated
02/14/2020
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