Individual
ATIF A ATYIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 E JACKSON BLVD, JONESBOROUGH, TN 37659-1538
(423) 753-6077
(423) 753-8788
Mailing address
1003 E JACKSON BLVD, JONESBOROUGH, TN 37659-1538
(423) 753-6077
(423) 753-8788
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30739
TN
207Q00000X
Family Medicine Physician
MD30739
TN
207R00000X
Internal Medicine Physician
MD30739
TN
208000000X
Pediatrics Physician
MD30739
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588677678
—
VA
05
—
3874724
—
TN
Enumeration date
08/13/2006
Last updated
07/28/2022
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