Organization
MARIA CRISTINA ATIENZA PSC
Active
Other names
Maria C Atienza MD PSC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C. ATIENZA MD (OWNER)
(606) 528-7400
Entity
Organization
Contact information
Practice address
110 ROY KIDD AVE, CORBIN, KY 40701-1302
(606) 528-7400
(606) 528-7449
Mailing address
PO BOX 545, CORBIN, KY 40702-0545
(606) 528-7400
(606) 528-7449
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35-001726
—
KY
Enumeration date
08/09/2006
Last updated
08/19/2013
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