Atkinson, Jared Williams
Atkinson, Jared Williams is an individual health care provider with primary practice located at 3970 Grandview Dr , Simpsonville SC 29680-3163. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Atkinson, Jared Williams can be contacted via phone (864) 963-8002.Contact Information
Primary practice address
3970 Grandview Dr
Simpsonville SC 29680-3163
Phone: (864) 963-8002
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 51870 | South Carolina |
Profile Details
NPI number | 1629424114 |
---|---|
LBN Legal business name | Atkinson, Jared Williams |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 13th, 2016 |
Last updated | May 1st, 2024 - about 7 months 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 | 1629424114 | NPPES |
South Carolina | MEDICAID | 518701 | |
South Carolina | Other | SCF2217652 |
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