Provider Demographics
NPI:1255489456
Name:WATKINS, CAROL ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ELIZABETH
Last Name:WATKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:16829 YORK RD
Mailing Address - Street 2:P.O. BOX 544
Mailing Address - City:MONKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21111-1020
Mailing Address - Country:US
Mailing Address - Phone:410-329-2028
Mailing Address - Fax:410-343-1272
Practice Address - Street 1:16829 YORK RD
Practice Address - Street 2:
Practice Address - City:MONKTON
Practice Address - State:MD
Practice Address - Zip Code:21111-1020
Practice Address - Country:US
Practice Address - Phone:410-329-2028
Practice Address - Fax:410-343-1272
Is Sole Proprietor?:No
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00287382084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry