Provider Demographics
NPI:1275017394
Name:ATKINS, SAVANA EDWARDS (PA-C)
Entity Type:Individual
Prefix:
First Name:SAVANA
Middle Name:EDWARDS
Last Name:ATKINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SAVANA
Other - Middle Name:CAROLINE
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1041 NOELL LN STE 105
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2055
Mailing Address - Country:US
Mailing Address - Phone:252-451-2700
Mailing Address - Fax:242-451-7939
Practice Address - Street 1:1041 NOELL LN STE 105
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-2055
Practice Address - Country:US
Practice Address - Phone:252-451-2700
Practice Address - Fax:242-451-7939
Is Sole Proprietor?:No
Enumeration Date:2018-09-25
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-08473207R00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine