Individual
JORDAN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2025 TATE SPRINGS RD, LYNCHBURG, VA 24501-1116
(434) 200-2900
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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