Doctor Name: | DAVID SCOTT WATKINS |
NPI Number: | 1013956721 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 901 |
Business Practice Address: | 3752 Teays Valley Rd Hurricane, WV - 255269705 |
Business Phone Number: | 3047573131 |
Business Fax Number: | 3047577718 |
Mailing Address: | 1100 Grosscup Ave, DUNBAR |
State: | WV |
Postal Code: | 250643120 |
Phone Number: | 3047201460 |
Fax Number: | 3047684072 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 11/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |