Individual
JEREMY ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5339 ODONOVAN DR, BATON ROUGE, LA 70808-4388
(225) 766-4999
(225) 767-4702
Mailing address
5339 ODONOVAN DR, BATON ROUGE, LA 70808-4388
(225) 766-4999
(225) 767-4702
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
312292
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2363832
—
LA
Enumeration date
04/15/2014
Last updated
05/05/2020
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