Provider Demographics
NPI:1770078974
Name:ATKINS, ALICIA A
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:A
Last Name:ATKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13016 EASTFIELD RD STE 200-269
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-6622
Mailing Address - Country:US
Mailing Address - Phone:704-342-9595
Mailing Address - Fax:704-496-2149
Practice Address - Street 1:13016 EASTFIELD RD STE 200-269
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6622
Practice Address - Country:US
Practice Address - Phone:704-342-9595
Practice Address - Fax:704-496-2149
Is Sole Proprietor?:No
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator