Individual
JASON W ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
729 HUNTER ST, APEX, NC 27502-1325
(919) 448-6526
Mailing address
75 HAWTHORN PL, CHAPEL HILL, NC 27517-8800
(919) 448-6526
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11780
NC
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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