Provider Demographics
NPI:1083013221
Name:ATKINS, HANNAH (DVM)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:ATKINS
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 ROSEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3637
Mailing Address - Country:US
Mailing Address - Phone:717-437-1982
Mailing Address - Fax:
Practice Address - Street 1:2240 ROSEWOOD AVE
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3637
Practice Address - Country:US
Practice Address - Phone:717-437-1982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7866174M00000X
TX13305174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian