| Doctor Name: | DR. MARC ROBERT WATKINS |
| NPI Number: | 1972641074 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 200301189 |
| Business Practice Address: | 315 14th Ave N Nashville, TN - 372033416 |
| Business Phone Number: | 6153215698 |
| Business Fax Number: | 6153215538 |
| Mailing Address: | 315 14th Ave N, NASHVILLE |
| State: | TN |
| Postal Code: | 372033416 |
| Phone Number: | 6153215698 |
| Fax Number: | 6153215538 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 12/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 200301189 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |