Individual
DR. JARED WILLIAMS ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3970 GRANDVIEW DR, SIMPSONVILLE, SC 29680-3163
(864) 963-8002
Mailing address
4605 MONTICELLO RD STE 1, COLUMBIA, SC 29203-4156
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
51870
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518701
—
SC
01
—
SCF2217652
MEDICARE PIN
SC
Enumeration date
05/13/2016
Last updated
05/01/2024
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