Healthcare Provider Details

I. General information

NPI: 1821082975
Provider Name (Legal Business Name): CHRISTOPHER R ATKINSON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 05/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 MEDICAL LANE
POLLOCKSVILLE NC
28573-8200
US

IV. Provider business mailing address

PO BOX 602522
CHARLOTTE NC
28260-2522
US

V. Phone/Fax

Practice location:
  • Phone: 252-633-1010
  • Fax: 252-224-3071
Mailing address:
  • Phone: 252-633-1010
  • Fax: 252-224-3071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number200101167
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: