Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 17453 | SC |
NPI | 1336148113 |
---|---|
Provider Name | James Arthur Atkison |
First Address | Sumter, SC 29150-4912 |
Second Address | Sumter, SC 29150-4912 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 31/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
174536 | (05) | SC |
F21715 | (02) |