MEDICARE: DR. ROY W WATKINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	38237	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346214012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY W WATKINS MD

Provider Business Mailing Address
First Line	:	4140 MENDENHALL OAKS PKWY
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8034
Country	:	US
Telephone Number	:	336-841-1259
Fax Number	:	336-841-7595

Provider Business Practice Location Address
First Line	:	4140 MENDENHALL OAKS PKWY
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8034
Country	:	US
Telephone Number	:	336-841-1259
Fax Number	:	336-841-7595

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	07/09/2007

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