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NPI Code Detail

MEDICARE: NICOLE ATKINSON

MEDICARE:   NICOLE  ATKINSON
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
11041C0700XClinical Social WorkerP008467NC

General Provider Information

NPI Number : 1649684044
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE ATKINSON
Provider Business Mailing Address
First Line : 1935 J N PEASE PL STE 104
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-4541
Country : US
Telephone Number : 704-548-5298
Fax Number :
Provider Business Practice Location Address
First Line : 1935 J N PEASE PL STE 104
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-4541
Country : US
Telephone Number : 704-548-5298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2014
Last Update Date : 06/13/2014

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Directions to “ NICOLE ATKINSON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.