Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 15931 | AL |
NPI | 1003868977 |
---|---|
Provider Name | Dr. Leroy Scott Atkins JR. |
First Address | Tuscaloosa, AL 35401-2094 |
Second Address | Tuscaloosa, AL 35401-2094 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
51034922 | BLUE CROSS BLUE SHIELD (01) | AL |
51517449 | BLUE CROSS BLUE SHIELD (01) | AL |
51517451 | BLUE CROSS BLUE SHIELD (01) | AL |
E87619 | (02) | AL |