Individual
DAWN JAYELYNN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7001 HWY 614, HURLEY, MS 39555
(228) 588-2938
(228) 588-9399
Mailing address
PO BOX 850, HURLEY, MS 39555-0850
(228) 588-2938
(228) 588-9399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101238363
VA
207Q00000X
Family Medicine Physician
Primary
21648
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010259037
—
VA
Enumeration date
03/24/2006
Last updated
09/13/2013
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