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Organization

GREGORY A. ATKINS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. REBECCA J. ATKINS (OFFICE MANAGER)
(989) 269-5393
Entity
Organization

Contact information

Practice address
1266 SAND BEACH RD, BAD AXE, MI 48413-8817
(989) 269-5393
(989) 269-6013
Mailing address
1266 SAND BEACH RD, BAD AXE, MI 48413-8817
(989) 269-5393
(989) 269-6013

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002842
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942328232
MI
Enumeration date
01/20/2009
Last updated
01/20/2009
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