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General NPI Number Information
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NPI Number | 1457730574
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Entity Type | Individual
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Provider Name | SEBRINA MADELYN WATKINS PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1096 BERMUDA RUN
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City | STATESBORO
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State | GA
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Zip | 30458-0858
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Country | US
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Telephone | 912-871-5150
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Fax |
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Provider Business Mailing Address
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Address Line | 3421 CONCORD RD
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City | YORK
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State | PA
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Zip | 17402-9001
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Country | US
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Telephone | 717-851-1405
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Fax | 912-583-2286
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 6621
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA065094
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License Number State | PA
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