Healthcare Provider Details

I. General information

NPI: 1942232624
Provider Name (Legal Business Name): ANTHONY WATKINS MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 ARDIS PL STE B
DOTHAN AL
36303-1997
US

IV. Provider business mailing address

2301 BROOKSTONE CENTRE PKWY STE 200
COLUMBUS GA
31904-9219
US

V. Phone/Fax

Practice location:
  • Phone: 334-625-7626
  • Fax: 334-460-4434
Mailing address:
  • Phone: 888-803-5543
  • Fax: 888-595-4335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number610
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: