Doctor Name: | DR. HARRY DANIEL WATKINS |
NPI Number: | 1679726277 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 025308 |
Business Practice Address: | 858 Old Philadelphia Rd Suite 102-b Jasper, GA - 301437706 |
Business Phone Number: | 7066693526 |
Business Fax Number: | |
Mailing Address: | Po Box 1870, JASPER |
State: | GA |
Postal Code: | 301430110 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/28/2008 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 025308 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |