Provider Demographics
NPI:1245290550
Name:WATKINS, JOHN G III (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:G
Last Name:WATKINS
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:9600 BAPTIST HEALTH DR
Mailing Address - Street 2:230 DOCTORS PARK BUILDING
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6326
Mailing Address - Country:US
Mailing Address - Phone:501-227-6797
Mailing Address - Fax:501-228-6336
Practice Address - Street 1:9600 LILE DR
Practice Address - Street 2:230 DOCTORS PARK BUILDING
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6326
Practice Address - Country:US
Practice Address - Phone:501-227-6797
Practice Address - Fax:501-228-6336
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2012-12-07
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Provider Licenses
StateLicense IDTaxonomies
ARC4765207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR104238001Medicaid
AR104238001Medicaid
AR55513Medicare ID - Type Unspecified