MEDICARE: DR. WALTER BEROSKY ATKINS D.P.M.

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
1	213E00000X	Podiatrist	000699	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750386637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALTER BEROSKY ATKINS D.P.M.

Provider Business Mailing Address
First Line	:	2001 MARTIN LUTHER KING JR DR SW
Second Line	:	STE 300
City	:	ATLANTA
State	:	GA
Zip	:	30310-5801
Country	:	US
Telephone Number	:	404-755-0020
Fax Number	:	404-755-6960

Provider Business Practice Location Address
First Line	:	2001 MARTIN LUTHER KING JR DR SW
Second Line	:	STE 300
City	:	ATLANTA
State	:	GA
Zip	:	30310-5801
Country	:	US
Telephone Number	:	404-755-0020
Fax Number	:	404-755-6960

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/09/2007

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Directions to “ DR. WALTER BEROSKY ATKINS D.P.M.” Practice Location

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