Provider Demographics
NPI:1760472195
Name:ATKINSON, THOMAS TEMPLE SR (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:TEMPLE
Last Name:ATKINSON
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2293 SUGAR HILL RD STE D
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-7787
Mailing Address - Country:US
Mailing Address - Phone:828-652-8727
Mailing Address - Fax:828-652-8793
Practice Address - Street 1:5920 US HIGHWAY 70 E
Practice Address - Street 2:
Practice Address - City:NEBO
Practice Address - State:NC
Practice Address - Zip Code:28761-9565
Practice Address - Country:US
Practice Address - Phone:828-659-9703
Practice Address - Fax:828-659-9357
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC21736207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12168OtherBCBS ID #
4337050OtherAETNA
NC8912168Medicaid
NC1760472195Medicaid
NC080089798OtherMEDICARE RAILROAD #
NC080089798OtherMEDICARE RAILROAD #
NC8912168Medicaid
NC202083HMedicare PIN