Individual
BETHANY ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3945 SAN JOSE PARK DR, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32217-4612
(904) 731-3530
(904) 737-1548
Mailing address
PO BOX 959, SALT LAKE CITY, UT 84110-0959
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME67807
FL
Other
Enumeration date
12/19/2005
Last updated
12/11/2018
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