Healthcare Provider Details

I. General information

NPI: 1912828708
Provider Name (Legal Business Name): ERICA WATKINS RDMS (AB,OB)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 ADMIRAL TAUSSIG BLVD
NORFOLK VA
23511-2802
US

IV. Provider business mailing address

504 E FREEMASON ST APT 2A
NORFOLK VA
23510-2477
US

V. Phone/Fax

Practice location:
  • Phone: 757-953-9000
  • Fax:
Mailing address:
  • Phone: 757-879-1320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number276385
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: