# RAJA A. ATIYAH, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RAJA A. ATIYAH MD PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467659375
- **Legal business name:** RAJA A. ATIYAH MD PC
- **Authorized official:** DR. RAJA ATA ATIYAH MD,PC (OWNER)
- **Authorized official phone:** (931) 766-7775

## Contact information

- **Practice address:** 1310 N LOCUST AVE, LAWRENCEBURG, TN 38464-2208
- **Practice address phone:** (931) 766-7775
- **Practice address fax:** (931) 766-7792
- **Mailing address:** 1310 N LOCUST AVE, LAWRENCEBURG, TN 38464-2208
- **Mailing address phone:** (931) 766-7775
- **Mailing address fax:** (931) 766-7792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 39510 | TN | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 12/28/2010