Healthcare Provider Details

I. General information

NPI: 1881747335
Provider Name (Legal Business Name): ELIZABETH A. ATKINSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 NORTHSIDE DAWSON DR STE 305
DAWSONVILLE GA
30534-7169
US

IV. Provider business mailing address

194 PLEASANT ST STE 2
CONCORD NH
03301-2952
US

V. Phone/Fax

Practice location:
  • Phone: 770-292-3045
  • Fax: 770-292-3046
Mailing address:
  • Phone: 603-224-2353
  • Fax: 603-226-0727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberT1029
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME108470
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number049416
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number0101042695
License Number StateVA
# 5
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number49416
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: