Individual
JOHNNY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17428 HAWKWATCH LN, CHARLOTTE, NC 28278-0078
(704) 728-4350
Mailing address
17428 HAWKWATCH LN, CHARLOTTE, NC 28278-0078
(704) 728-4350
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/17/2020
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