Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jack Homer Atkins III, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1104052216

Mr. Jack Homer Atkins III, IDMT is an Independent Duty Medical Technicians in Louisville, Tennessee. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

420 Post Ave
Louisville, TN 37777-6223
Phone: (865) 985-4277
Fax: (865) 985-4273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1104052216
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedJune 3, 2009
Last updated in NPPESJune 3, 2009

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