Individual
MANDY ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE, ROANOKE, VA 24014
(540) 981-7000
Mailing address
1906 BELLEVIEW AVE, ROANOKE, VA 24014
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101-237612
VA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
0101-237612
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010131740
—
VA
Enumeration date
02/02/2006
Last updated
12/10/2020
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