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MR. COY WATKINS MSPAS, PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1578887568

Individual Registrant:
MR. COY  WATKINS MSPAS, PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
244 LEDFORD ST 1188  PEMBROKE, GA 31321-1188 US
Tel: 912-653-4357  Fax: --

Contact information for business:
PO BOX 1188  PEMBROKE, GA 31321-1188 US
Tel: 912-653-4357  Fax: --

Registration Information:
NPI: 1578887568
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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