Organization
ATRIUM OBGYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALVIN HAAKENSON MD (PRESIDENT)
(919) 781-9555
Entity
Organization
Contact information
Practice address
2417 ATRIUM DR, SUITE 200, RALEIGH, NC 27607-6673
(919) 781-9555
(919) 781-1070
Mailing address
2417 ATRIUM DR, SUITE 200, RALEIGH, NC 27607-6673
(919) 781-9555
(919) 781-1070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035
ALVAREZ NC LICENSE#
NC
01
—
1104
ZIMMERMAN NC LICENSE#
NC
01
—
22477
HAAKENSON NC LICENSE#
NC
01
—
28040
HENDERSON NC LICENSE#
NC
01
—
40022
JB NC LICENSE#
NC
05
—
7989860
—
NC
05
—
89135FA
—
NC
05
—
8937989
—
NC
05
—
8941376
—
NC
Enumeration date
07/20/2005
Last updated
08/22/2020
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