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Individual

DR. ERNEST M ATKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
148 SAULS ST, LAKE CITY, SC 29560-2631
(843) 374-3621
(843) 374-3624
Mailing address
PO BOX 118008, CHARLESTON, SC 29423-8008
(843) 374-3621
(843) 374-3624

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15463
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154638
SC
01
P01055591
RR PTAN
SC
Enumeration date
10/03/2006
Last updated
02/06/2014
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