Provider Demographics
NPI:1881747335
Name:ATKINSON, ELIZABETH A (MD)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:A
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:194 PLEASANT ST
Mailing Address - Street 2:STE 2
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2952
Mailing Address - Country:US
Mailing Address - Phone:603-224-2353
Mailing Address - Fax:603-226-0727
Practice Address - Street 1:81 NORTHSIDE DAWSON DR STE 305
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-7169
Practice Address - Country:US
Practice Address - Phone:770-292-3045
Practice Address - Fax:770-292-3046
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NHT1029174400000X
FLME108470174400000X
GA049416174400000X
VA0101042695174400000X
GA49416207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA341151OtherWELLCARE
GA000888225AMedicaid
GA341151OtherWELLCARE
GAD85339Medicare UPIN