Organization
SPINE STOP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT WATKINS II D.C. (OWNER)
(270) 237-3304
Entity
Organization
Contact information
Practice address
352 OLD GALLATIN RD, SCOTTSVILLE, KY 42164-8666
(270) 237-3304
(270) 237-3305
Mailing address
352 OLD GALLATIN RD, SCOTTSVILLE, KY 42164-8666
(270) 237-3304
(270) 237-3305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5082
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00946
MEDICARE PTAN
KY
Enumeration date
06/02/2009
Last updated
04/17/2014
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