Individual
SHARON S WALKER WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 N. RONALD REAGAN PARKWAY, SUITE C1600, AVON, IN 46123-7085
(317) 217-2500
(317) 217-2515
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01071422A
IN
207V00000X
Obstetrics & Gynecology Physician
036105998
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105998
—
IL
05
—
201082300
—
IN
Enumeration date
09/29/2006
Last updated
02/26/2014
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