Atwood, Justin Henry
Atwood, Justin Henry is an individual health care provider with primary practice located at 1 Richland Medical Park Dr Ste 300 , Columbia SC 29203-6831. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Atwood, Justin Henry can be contacted via phone (803) 545-5500.Contact Information
Primary practice address
1 Richland Medical Park Dr Ste 300
Columbia SC 29203-6831
Phone: (803) 545-5500
Fax: (803) 933-3022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 34650 | South Carolina |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 34650 | South Carolina |
Profile Details
| NPI number | 1790079085 |
|---|---|
| LBN Legal business name | Atwood, Justin Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2011 |
| Last updated | Mar 15th, 2024 - about last year |
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 | 1790079085 | NPPES |
| South Carolina | Other | 34650 | MEDICAL LICENSE |
| South Carolina | Other | 2014022170 | MEDICAL LICENSE |
| South Carolina | MEDICAID | 346502 | MEDICAL LICENSE |
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