Watkins, Jeremiah Ray
Watkins, Jeremiah Ray is an individual health care provider with primary practice located at 9600 Datapoint Dr , San Antonio TX 78229-2028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Watkins, Jeremiah Ray can be contacted via phone (210) 892-3700.Contact Information
Primary practice address
9600 Datapoint Dr
San Antonio TX 78229-2028
Phone: (210) 892-3700
Fax: (210) 617-4692
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 059231 | Georgia |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 59231 | Georgia |
Profile Details
NPI number | 1447431275 |
---|---|
LBN Legal business name | Watkins, Jeremiah Ray |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 20th, 2007 |
Last updated | Apr 23rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447431275 | NPPES |
Georgia | Other | 11016 | MED DIRECTOR LIC |
Georgia | Other | 160548 | MED DIRECTOR LIC |
Georgia | Other | 89012 | MED DIRECTOR LIC |
Georgia | MEDICAID | 003126490C | MED DIRECTOR LIC |
Georgia | Other | V0576 | MED DIRECTOR LIC |
Georgia | Other | 059231 | MED DIRECTOR LIC |
Georgia | Other | 2022-03227 | MED DIRECTOR LIC |
Georgia | MEDICAID | 003126490D | MED DIRECTOR LIC |
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