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NPI Code Detail

MEDICARE: DR. STEVEN PEPPER ATKINSON MD

MEDICARE: DR. STEVEN PEPPER ATKINSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianME92548FL
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician057569GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
152173081OTHERGABCBS
2345968OTHERGAWELLCARE

General Provider Information

NPI Number : 1811964588
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN PEPPER ATKINSON MD
Provider Business Mailing Address
First Line : 1364 CLIFTON RD NE # H185A
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1059
Country : US
Telephone Number : 404-727-4283
Fax Number :
Provider Business Practice Location Address
First Line : 1364 CLIFTON RD NE # H185A
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1064
Country : US
Telephone Number : 404-727-4283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 12/26/2007

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