Watkins, Mark
Watkins, Mark is an individual health care provider with primary practice located at 3226 Hampton Ave Suite A, Brunswick GA 31520-4225. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Watkins, Mark can be contacted via phone (912) 264-5768.Contact Information
Primary practice address
3226 Hampton Ave Suite A
Brunswick GA 31520-4225
Phone: (912) 264-5768
Fax: (912) 264-5798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 39262 | Georgia |
Profile Details
| NPI number | 1972604692 |
|---|---|
| LBN Legal business name | Watkins, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
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 | 1972604692 | NPPES |
| Georgia | MEDICAID | 00739428A |
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