Individual
ATIF IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 377-3000
Mailing address
NORTH MISSISSIPPI MEDICAL CENTER, 830 S GLOSTER ST,, TUPELO, MS 38801-4996
(662) 377-3000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
06/30/2022
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