Individual
DR. MARK WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3226 HAMPTON AVE, SUITE A, BRUNSWICK, GA 31520-4225
(912) 264-5768
(912) 264-5798
Mailing address
3226 HAMPTON AVE, SUITE A, BRUNSWICK, GA 31520-4225
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39262
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00739428A
—
GA
Enumeration date
09/26/2006
Last updated
07/08/2007
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