Provider Demographics
NPI:1093046518
Name:ATKINSON, MEREDITH O'NEAL (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:O'NEAL
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3239
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-3239
Mailing Address - Country:US
Mailing Address - Phone:843-777-7487
Mailing Address - Fax:843-777-7102
Practice Address - Street 1:723 S DOCTORS DR
Practice Address - Street 2:
Practice Address - City:CHERAW
Practice Address - State:SC
Practice Address - Zip Code:29520-7108
Practice Address - Country:US
Practice Address - Phone:843-537-9360
Practice Address - Fax:843-537-2756
Is Sole Proprietor?:No
Enumeration Date:2010-01-22
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4110363L00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7004625Medicaid