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Individual

WILLIAM MARVIN WATKINS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22666
MS
208600000X
Surgery Physician
AU5009697-1595
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03407352
MS
01
P01454871
RAILROAD MEDICARE PTAN
MS
Enumeration date
07/14/2009
Last updated
06/18/2015
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