Healthcare Provider Details

I. General information

NPI: 1780994376
Provider Name (Legal Business Name): KARIKA PARTILIA WATKINS-HILL PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 10/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 SUNSET AVE
CLINTON NC
28328-3827
US

IV. Provider business mailing address

308 DOLPHIN DR
JACKSONVILLE NC
28546-5266
US

V. Phone/Fax

Practice location:
  • Phone: 910-592-4000
  • Fax: 910-592-4007
Mailing address:
  • Phone: 910-346-2273
  • Fax: 910-346-1907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0003777
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: