Provider Demographics
NPI:1912993783
Name:ATKINSON, TAMMY (DC,MA)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:DC,MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-4336
Mailing Address - Country:US
Mailing Address - Phone:919-234-3790
Mailing Address - Fax:
Practice Address - Street 1:1155 KILDAIRE FARM RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4581
Practice Address - Country:US
Practice Address - Phone:919-889-4854
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3331111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor