Individual
PEARLIE BRADFORD WATKINS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4402 SHIPYARD BLVD., EASTERN CAROLINA EMERGENCY PHYSICIANS, WILMINGTON, NC 28403
(910) 202-3363
Mailing address
4402 SHIPYARD BLVD., EASTERN CAROLINA EMERGENCY PHYSICIANS, WILMINGTON, NC 28403
(910) 202-3363
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2011-00899
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821261819
CHAMPUS
NC
05
—
5917678
—
NC
01
—
P01131867
RAILROAD MEDICARE
NC
Enumeration date
04/10/2008
Last updated
11/22/2013
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