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General NPI Number Information
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NPI Number | 1497747570
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Entity Type | Individual
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Provider Name | GEORGE MICHAEL ATKINSON MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 102 E HOSPITAL DR
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City | HATTIESBURG
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State | MS
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Zip | 39402-1310
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Country | US
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Telephone | 601-268-5144
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Fax | 601-268-5149
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Provider Business Mailing Address
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Address Line | PO BOX 15729
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City | HATTIESBURG
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State | MS
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Zip | 39404-5729
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Country | US
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Telephone | 601-268-5144
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Fax | 601-268-5149
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 18485
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License Number State | MS
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