Provider Demographics
NPI:1740408640
Name:ATLAS, SUSAN R (RN, MAC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:R
Last Name:ATLAS
Suffix:
Gender:F
Credentials:RN, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 HARDROCK RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-7323
Mailing Address - Country:US
Mailing Address - Phone:828-586-8949
Mailing Address - Fax:
Practice Address - Street 1:108 HARDROCK RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-7323
Practice Address - Country:US
Practice Address - Phone:828-586-8949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist