Individual
MICHAEL L ATKEISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
186 MAIN ST, ECRU, MS 38841-9432
(662) 489-8084
(662) 489-8484
Mailing address
1008 MARTINTOWN RD, NEW ALBANY, MS 38652-1901
(662) 534-3342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-5752
MS
Other
Enumeration date
12/14/2006
Last updated
10/23/2008
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