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Individual

LEE ATKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
554 KELLY STREET, BUREAU OF MEDICINE AND SURGERY, JACKSONVILLE, FL 32212
(760) 719-4747
Mailing address
554 KELLY STREET, BUREAU OF MEDICINE AND SURGERY, JACKSONVILLE, FL 32212

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.030160
IL
1223P0300X
Periodontics
Primary
019.030160
IL

Other

Enumeration date
02/24/2016
Last updated
09/19/2023
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