Provider Demographics
NPI:1659895605
Name:WATKINS, PARKER (DC)
Entity Type:Individual
Prefix:DR
First Name:PARKER
Middle Name:
Last Name:WATKINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3761 N MALL AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4972
Mailing Address - Country:US
Mailing Address - Phone:479-435-6888
Mailing Address - Fax:479-435-6077
Practice Address - Street 1:3761 N MALL AVE STE 3
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4972
Practice Address - Country:US
Practice Address - Phone:479-200-7220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16168111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor