Individual
MS. COLENE L WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 HOSPITAL DRIVE SUITE 220, MT. PLEASANT, SC 29464-3538
(843) 936-6238
(843) 936-6239
Mailing address
1300 HOSPITAL DRIVE SUITE 220, MT. PLEASANT, SC 29464-3538
(843) 936-6238
(843) 936-6239
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1802
SC
363A00000X
Physician Assistant
1802
SC
Other
Enumeration date
07/05/2012
Last updated
05/24/2023
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