# ATKINSON GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIFELONGCARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619154499
- **Authorized official:** MR. AKINSOLA KINGS OJO MD (GENERAL MANAGER)
- **Authorized official phone:** (803) 647-4510

## Contact information

- **Practice address:** 1400 FARRINGTON WAY APT C, COLUMBIA, SC 29210-6075
- **Practice address phone:** (803) 647-4510
- **Mailing address:** 1400 FARRINGTON WAY APT C, COLUMBIA, SC 29210-6075
- **Mailing address phone:** (803) 647-4510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | MD | Yes |
| 305R00000X | Preferred Provider Organization | — | MD | — |

## Other

- **Enumeration date:** 01/23/2008
- **Last updated:** 07/21/2022