Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 01118 | MD |
N | 213EP1101X | Primary Podiatric Medicine | SC-003472-L | PA |
NPI | 1457315509 |
---|---|
Provider Name | James Atkin |
First Address | Elkton, MD 21921-1940 |
Second Address | Perry Point, MD 21902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 08/07/2007 |