Individual
JESHENNA JAMILL WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
190 HANDLEY RD STE A, TYRONE, GA 30290-2178
(770) 997-5714
Mailing address
404 CHAMBRAY HLS, PEACHTREE CITY, GA 30269-4246
(901) 355-0361
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
53213
TN
207V00000X
Obstetrics & Gynecology Physician
Primary
85013
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6046398
BCBS
TN
05
—
Q014860
—
TN
Enumeration date
06/10/2011
Last updated
04/24/2024
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