Organization Name: | KENNEY S. ATKINS M.D.,P.C. |
NPI Number: | 1386795383 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNEY SCOTT ATKINS (CEO) |
Mailing Address: | 4799 Blue Ridge Drive Suite 100 Blue Ridge |
State: | GA US |
Postal Code: | 305130000 |
Phone Number: | 7069643345 |
Fax Number: | 7069643347 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 024386 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |