Organization
CHARLES E ATKINS, JR DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORI MORDECAI (OFFICE MANAGER)
(662) 329-3931
Entity
Organization
Contact information
Practice address
532 MAIN ST, PHILADELPHIA, MS 39350-2562
(601) 650-0089
(601) 650-0056
Mailing address
137 PLANTATION DR, COLUMBUS, MS 39705-1138
(662) 329-3931
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1284-07
MS
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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