Provider Demographics
NPI:1831558824
Name:ATKINS, CHRISTOPHER BRITT (NC LMBT 13728)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:BRITT
Last Name:ATKINS
Suffix:
Gender:M
Credentials:NC LMBT 13728
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 HORN ST
Mailing Address - Street 2:
Mailing Address - City:MOCKSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27028-2449
Mailing Address - Country:US
Mailing Address - Phone:336-345-4769
Mailing Address - Fax:
Practice Address - Street 1:126 HORN ST
Practice Address - Street 2:
Practice Address - City:MOCKSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27028-2449
Practice Address - Country:US
Practice Address - Phone:336-345-4769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13728172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist