Organization
MADISON MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B ATKINS MD (DR)
(304) 369-5170
Entity
Organization
Contact information
Practice address
467 MAIN ST, SUITE 200, MADISON, WV 25130-2200
(304) 369-5170
(304) 369-0946
Mailing address
467 MAIN ST, SUITE 200, MADISON, WV 25130-2200
(304) 369-5170
(304) 369-0946
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
11402
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011063000
—
WV
Enumeration date
04/26/2006
Last updated
06/24/2010
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