Individual
DR. KENNEY SCOTT ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4799 BLUE RIDGE DR, SUITE 100, BLUE RIDGE, GA 30513-3240
(706) 964-3345
(706) 964-3347
Mailing address
PO BOX 669, MC CAYSVILLE, GA 30555-0669
(706) 964-3345
(706) 964-3347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024386
GA
207Q00000X
Family Medicine Physician
16029
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00260763A
—
GA
01
—
0059988
BLUE CROSS OF TENNESSEE
TN
01
—
0595594
BLUE CROSS OF GEORGIA
GA
05
—
3013267
—
TN
Enumeration date
07/24/2006
Last updated
07/18/2010
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