Individual
JACOB WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5899 BREMO RD, RICHMOND, VA 23226-1935
(804) 288-8512
Mailing address
15300 FOX BRIAR CT, MIDLOTHIAN, VA 23112-6359
(804) 317-7350
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
04/26/2024
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