Individual
ANDREA FANNING ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
705 N 8TH AVE, SUITE 3B, DILLON, SC 29536-2549
(843) 841-3825
(843) 841-3830
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 841-2816
(843) 841-2795
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3963
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238463
MEDCOST
SC
01
—
238464
MEDCOST
SC
01
—
AA41798552
MEDICARE PTAN
SC
05
—
NP1773
—
SC
Enumeration date
07/27/2009
Last updated
01/29/2021
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