Atala, Anthony John
Atala, Anthony John is an individual health care provider with primary practice located at 140 Charlois Blvd , Winston Salem NC 27103-1522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Atala, Anthony John can be contacted via phone (336) 716-4131.Contact Information
Primary practice address
140 Charlois Blvd
Winston Salem NC 27103-1522
Phone: (336) 716-4131
Fax: (336) 713-0328
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 200400099 | North Carolina |
Profile Details
| NPI number | 1235111832 |
|---|---|
| LBN Legal business name | Atala, Anthony John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Jun 14th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235111832 | NPPES |
| North Carolina | MEDICAID | 891359J | |
| North Carolina | MEDICAID | 1810835000 | |
| North Carolina | Other | 1359J | |
| North Carolina | MEDICAID | 10078199 | |
| North Carolina | Other | 7644683 | |
| North Carolina | Other | 804009 | |
| North Carolina | Other | D2424 |
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