Individual
TIFFANY DIANE ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2323 MEMORIAL AVE STE 10, LYNCHBURG, VA 24501-2652
(434) 200-5200
(434) 200-6145
Mailing address
2323 MEMORIAL AVE STE 10, LYNCHBURG, VA 24501-2652
(434) 200-5200
(434) 200-6145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101276948
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116033347
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207Q00000X
FAMILY MEDICINE
VA
Enumeration date
06/25/2019
Last updated
10/20/2022
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