Individual
AMANDA K WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666-6250
(757) 827-2480
(757) 827-2566
Mailing address
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666-6250
(757) 827-2480
(757) 827-2566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003384
VA
363AS0400X
Surgical Physician Assistant
0110003384
VA
Other
Enumeration date
02/10/2009
Last updated
02/05/2024
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