Provider Demographics
NPI:1457951097
Name:WATKINS, JAMES P JR (AM)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:WATKINS
Suffix:JR
Gender:M
Credentials:AM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 SNOWFALL SPUR APT B
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-4966
Mailing Address - Country:US
Mailing Address - Phone:412-545-4758
Mailing Address - Fax:
Practice Address - Street 1:955 SNOWFALL SPUR APT B
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-4966
Practice Address - Country:US
Practice Address - Phone:412-545-4758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator