Watkins, William Marvin

Watkins, William Marvin is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Watkins, William Marvin can be contacted via phone (601) 984-5017.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5017
Fax: (601) 984-5042
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 22666 Mississippi
Allopathic & Osteopathic Physicians / Surgery 208600000X AU5009697-1595 Mississippi

Profile Details

NPI number 1962631788
LBN Legal business name Watkins, William Marvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2009
Last updated Jun 18th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962631788 NPPES
Mississippi MEDICAID 03407352
Mississippi Other P01454871

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