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NPI Code Detail

MEDICARE: DR. WILLIAM W ATHERTON DC

MEDICARE:  DR. WILLIAM W ATHERTON  DC
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
1111NR0200XRadiology ChiropractorCH7981FL
2111NR0200XRadiology ChiropractorX008063-1NY

General Provider Information

NPI Number : 1891861845
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM W ATHERTON DC
Provider Business Mailing Address
First Line : 795 NE 127TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-4826
Country : US
Telephone Number : 305-895-6408
Fax Number :
Provider Business Practice Location Address
First Line : 795 NE 127TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-4826
Country : US
Telephone Number : 305-895-6408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM W ATHERTON DC” Practice Location

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