Individual
JOHN T. ATKINS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 E. CHEVES ST., STE. 202, FLORENCE, SC 29506-2615
(843) 777-7863
(843) 777-7873
Mailing address
P. O. BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7120
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34988
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34988
SC
207RP1001X
Pulmonary Disease Physician
Primary
34988
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA95258552
MEDICARE PTAN
SC
05
—
G53973
—
SC
Enumeration date
12/06/2005
Last updated
07/20/2017
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