| Organization Name: | ATWOOD AND CLARK, LLC |
| NPI Number: | 1285038869 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAUN D SKYRM (ADMINISTRATOR) |
| Mailing Address: | 6303 Sunset Ave Panama City Beach |
| State: | FL US |
| Postal Code: | 324083528 |
| Phone Number: | 7249717152 |
| Fax Number: | 3307733698 |
| NPI Enumeration Date: | 10/10/2014 |
| NPI Last Update Date: | 10/10/2014 |
| 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: | |