Provider Demographics
NPI:1043477623
Name:ATKINS, WILLIAM AUSTIN JR (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:AUSTIN
Last Name:ATKINS
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2151 CEDARCREST ROAD
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-6213
Mailing Address - Country:US
Mailing Address - Phone:770-672-0846
Mailing Address - Fax:770-627-4238
Practice Address - Street 1:2151 CEDARCREST ROAD
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101
Practice Address - Country:US
Practice Address - Phone:770-672-0846
Practice Address - Fax:770-627-4238
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA15890183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist