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NPI Code Detail

MEDICARE: DR. THOMAS C WATKINS D.O.

MEDICARE: DR. THOMAS C WATKINS D.O.
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
1291U00000XClinical Medical LaboratoryDO0000002475TN
2207ZP0105XClinical Pathology/Laboratory Medicine PhysicianDO0000002475TN

General Provider Information

NPI Number : 1710266952
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS C WATKINS D.O.
Provider Business Mailing Address
First Line : 1601 AILOR AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37921-6702
Country : US
Telephone Number : 865-524-3074
Fax Number :
Provider Business Practice Location Address
First Line : 1601 AILOR AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37921-6702
Country : US
Telephone Number : 865-524-3074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2011
Last Update Date : 11/17/2014

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