Provider Demographics
NPI:1891738373
Name:WATKINS, JULIA M (MD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:WATKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12921 CANTRELL RD STE 300
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-1709
Mailing Address - Country:US
Mailing Address - Phone:501-907-6699
Mailing Address - Fax:501-224-6481
Practice Address - Street 1:12921 CANTRELL RD STE 300
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-1709
Practice Address - Country:US
Practice Address - Phone:501-907-6699
Practice Address - Fax:501-224-6481
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARN-7826207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR4249344OtherAETNA
AR1464255OtherUNITED HEALTHCARE
AR160015703OtherRAILROAD MEDICARE
AR142480000-01OtherQUALCHOICE
AR55526OtherBCBS
AR121609001Medicaid
AR142480000-01OtherQUALCHOICE
AR121609001Medicaid
AR55526Medicare PIN