Individual
JUSTIN MARK ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9515
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2012-01547
NC
207Q00000X
Family Medicine Physician
Primary
01068452A
IN
207Q00000X
Family Medicine Physician
2012-01547
NC
Other
Enumeration date
07/16/2008
Last updated
12/18/2018
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