MEDICARE: THOMAS TEMPLE ATKINSON SR. M.D.

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	207Q00000X	Family Medicine Physician	21736	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	080089798	OTHER	NC	MEDICARE RAILROAD #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12168	OTHER	NC	BCBS ID #
2	4337050	OTHER		AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760472195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS TEMPLE ATKINSON SR. M.D.

Provider Business Mailing Address
First Line	:	2293 SUGAR HILL RD STE D
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-7787
Country	:	US
Telephone Number	:	828-652-8727
Fax Number	:	828-652-8793

Provider Business Practice Location Address
First Line	:	5920 US HIGHWAY 70 E
Second Line	:
City	:	NEBO
State	:	NC
Zip	:	28761-9565
Country	:	US
Telephone Number	:	828-659-9703
Fax Number	:	828-659-9357

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	03/17/2018

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Directions to “ THOMAS TEMPLE ATKINSON SR. M.D.” Practice Location

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