Individual
NICHOLAS D WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1303 W EVERGREEN AVE STE 200, EFFINGHAM, IL 62401-1638
(217) 342-3400
(217) 342-6417
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4653
(217) 868-2812
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007501
IL
Other
Enumeration date
02/10/2020
Last updated
08/16/2022
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