Provider Demographics
NPI:1760190805
Name:ATKINSON, NICHOLE DENISE (DC)
Entity Type:Individual
Prefix:DR
First Name:NICHOLE
Middle Name:DENISE
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 ROSELITE CIR
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-5336
Mailing Address - Country:US
Mailing Address - Phone:678-521-0730
Mailing Address - Fax:
Practice Address - Street 1:20 DEPOT ST
Practice Address - Street 2:
Practice Address - City:HARTWELL
Practice Address - State:GA
Practice Address - Zip Code:30643-7208
Practice Address - Country:US
Practice Address - Phone:678-521-0730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA010857111NP0017X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor