Doctor Name: | MS. REBECCA P WATKINS |
NPI Number: | 1629115019 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN0000047263 |
Business Practice Address: | 1006 E Lamar Alexander Pkwy Maryville, TN - 378045132 |
Business Phone Number: | 8659834582 |
Business Fax Number: | 8659834574 |
Mailing Address: | 440 Defoe Cir, MARYVILLE |
State: | TN |
Postal Code: | 378042702 |
Phone Number: | 8659846847 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | RN0000047263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |