Provider Demographics
NPI:1942527049
Name:ATCAM LLC
Entity Type:Organization
Organization Name:ATCAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MEDICAL RECORDS
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-458-6770
Mailing Address - Street 1:209 N PEARL ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-5426
Mailing Address - Country:US
Mailing Address - Phone:252-458-6770
Mailing Address - Fax:252-937-3017
Practice Address - Street 1:209 N PEARL ST
Practice Address - Street 2:SUITE B
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-5426
Practice Address - Country:US
Practice Address - Phone:252-458-6770
Practice Address - Fax:252-937-3017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health