Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PERRY TANIS WATKINS, MPA
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · CHARLOTTE, NC
Registration Details
- NPI Number
- 1659555183
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2007 (18.339625401897 yrs)
- Last Updated
- Dec 19, 2007
- License
-
MHL-081-074 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6120 CARRIAGE OAKS DRCHARLOTTE, NC, 282623253Browse NC providers · Browse ZIP 28262
- Phone
- 7045066888
- Fax
- 7043780363
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.