Atwood and Clark, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME108352 Issued in FL

Legal business name

ATWOOD AND CLARK, LLC

Practice address

6303 Sunset Ave
Panama City Beach, FL 32408-3528

Phone

(724) 971-7152

Fax

(330) 773-3698

NPI assigned

Oct 10, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Raun D Skyrm

Title

Administrator

Phone

(330) 773-3544

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1285038869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 SUNSET AVE",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324083528",
            "telephone_number": "724-971-7152",
            "fax_number": "330-773-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 SUNSET AVE",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324083528",
            "telephone_number": "724-971-7152",
            "fax_number": "330-773-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATWOOD AND CLARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "SKYRM",
        "authorized_official_first_name": "RAUN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-773-3544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME108352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Jean Anthony
• Sefphra Marie Arias, MSN, APRN, FNP
• Donna J Arnett, M.S.C.CCC
• Laura Michelle Arnold
• Doris Ann Asbury, NURSE
• Shabana Azam, DDS
• Candace Sue Bailey, LPC
• Jeffrey Baker, DO
• Kacy L. Baker, LCSW
• Melissa R Baker, LCSW

• General Practice Physician in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.