Individual
DR. THOMAS W ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1670 E JOYCE BLVD, FAYETTEVILLE, AR 72703-6214
(479) 582-5905
(479) 582-5908
Mailing address
PO BOX 9690, FAYETTEVILLE, AR 72703-0030
(479) 582-5905
(479) 582-5908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C-5903
AR
207R00000X
Internal Medicine Physician
Primary
C-5953
AR
207RA0401X
Addiction Medicine (Internal Medicine) Physician
C-5953
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110911001
—
AR
01
—
13075000001
QUALCHOICE QCA
AR
01
—
238882
VALUE OPTIONS PROVIDER ID
AR
01
—
50083
BLUE CROSS
AR
Enumeration date
06/21/2006
Last updated
03/03/2020
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