Provider Demographics
NPI:1003838277
Name:ATKINSON, GEORGE OREN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:OREN
Last Name:ATKINSON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:EMORY UNIVERSITY HOSPITAL
Mailing Address - Street 2:1364 CLIFTON RD NE
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:404-785-6547
Mailing Address - Fax:404-785-1216
Practice Address - Street 1:EMORY UNIVERSITY HOSPITAL
Practice Address - Street 2:1364 CLIFTON ROAD, NE
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-785-6547
Practice Address - Fax:404-785-1216
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
GA157272085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA15727OtherSTATE MEDICAL LICENSE
GAD39315Medicare UPIN