Individual
TYLER WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
4300 W MAIN ST STE 405, DOTHAN, AL 36305-1086
(334) 944-7073
Mailing address
4300 W MAIN ST STE 405, DOTHAN, AL 36305-1086
(334) 944-7073
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-174232
AL
Other
Enumeration date
10/05/2021
Last updated
09/29/2022
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