Individual
ATIA JORDAN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
51 N DUNLAP ST STE 400, MEMPHIS, TN 38105-4625
(901) 287-7337
(901) 287-6337
Mailing address
850 POPLAR AVE BLDG 2, PHYSICIAN SERVICES, MEMPHIS, TN 38105-4607
(901) 287-7337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
48578
TN
2080P0214X
Pediatric Pulmonology Physician
Primary
48578
TN
2080S0012X
Pediatric Sleep Medicine Physician
48578
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00334251
—
MS
05
—
1532546
—
TN
05
—
217905001
—
AR
01
—
48578
TN MEDICAL LICENSE
TN
Enumeration date
04/23/2009
Last updated
03/17/2021
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