Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 0101047136 | VA |
NPI | 1316359458 |
---|---|
Provider Name | Miss Susan E Atkins |
First Address | Richmond, VA 23225-4040 |
Second Address | Richmond, VA 23225-4040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2014 |
Last Update Date | 23/05/2014 |