Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 2010-00583 | NC |
N | 207RC0200X | Critical Care Medicine | 2010-00583 | NC |
NPI | 1083836001 |
---|---|
Provider Name | Dr. Matthew Atkins |
First Address | Raleigh, NC 27616-2880 |
Second Address | Raleigh, NC 27607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 02/09/2021 |