Provider Demographics
NPI:1073510020
Name:ATKINS, WILLIAM S (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:ATKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 MARKET HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-3678
Mailing Address - Country:US
Mailing Address - Phone:828-262-1554
Mailing Address - Fax:828-268-2981
Practice Address - Street 1:150 MARKET HILLS DR
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-3678
Practice Address - Country:US
Practice Address - Phone:828-262-1554
Practice Address - Fax:828-268-2981
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-06
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17304207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89-12166Medicaid
NC12166OtherBCBS
NC201987Medicare PIN
NCC81003Medicare UPIN
NC89-12166Medicaid