| Thomas W Atkinson Md Pa | |
|
1670 East Joyce Blvd Suite 2 Fayetteville AR 72703-0030 | |
| (479) 582-5905 | |
| (479) 582-5908 |
| Full Name | Thomas W Atkinson Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1670 East Joyce Blvd Suite 2, Fayetteville, Arkansas |
| Authorized Official Name and Position | Thomas W Atkinson (OWNER) |
| Authorized Official Contact | 4795825905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W Atkinson Md Pa Po Box 9690 Fayetteville AR 72703-0030 Ph: (479) 582-5905 | Thomas W Atkinson Md Pa 1670 East Joyce Blvd Suite 2 Fayetteville AR 72703-0030 Ph: (479) 582-5905 |
| NPI Number | 1265066955 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Medicare PECOS PAC ID | 8628405651 |
|---|---|
| Medicare Enrollment ID | O20200303001818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265066955 | NPI | - | NPPES |
| 110911001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas W Atkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861438665 PECOS PAC ID: 4880642719 Enrollment ID: I20050107000324 |
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