Individual
CHRISTY WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5572 HIGHWAY 102, CHESTERFIELD, SC 29709-8386
(832) 623-2206
Mailing address
5572 HIGHWAY 102, CHESTERFIELD, SC 29709-8386
(832) 623-2206
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
100085
SC
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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