Individual
DR. JUSTIN HENRY ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2750 LAUREL ST STE 202, COLUMBIA, SC 29204-2024
(803) 865-4590
(803) 227-4195
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
(843) 792-6252
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34650
SC
207RP1001X
Pulmonary Disease Physician
Primary
34650
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014022170
MEDICAL LICENSE NUMBER
MO
01
—
34650
MEDICAL LICENSE
SC
05
—
346502
—
SC
Enumeration date
06/03/2011
Last updated
02/05/2026
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