Individual
DR. STEPHEN L WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 FARROW PARKWAY UNIT B3, MYRTLE BEACH, SC 29577-2011
(843) 839-4095
(843) 839-4096
Mailing address
300 SINGLETON RIDGE ROAD, ATTENTION PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11377
SC
208M00000X
Hospitalist Physician
11377
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113772
—
SC
Enumeration date
08/12/2006
Last updated
03/29/2021
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