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Individual

THOMAS TEMPLE ATKINSON SR.

Active
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Individual

THOMAS TEMPLE ATKINSON SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21736
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080089798
MEDICARE RAILROAD #
NC
01
—
12168
BCBS ID #
NC
05
—
1760472195
—
NC
01
—
4337050
AETNA
—
05
—
8912168
—
NC
Enumeration date
10/26/2005
Last updated
03/17/2018
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