Organization Name: | ATWOOD AND CLARK ASSOCIATES, LLC |
NPI Number: | 1285038117 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAUN D SKYRM (ADMINISTRATOR) |
Mailing Address: | 201 Forest Park Cir Panama City |
State: | FL US |
Postal Code: | 324054916 |
Phone Number: | 8502487777 |
Fax Number: | 8502487779 |
NPI Enumeration Date: | 10/21/2014 |
NPI Last Update Date: | 10/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME108352 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |