1942338652 NPI number — MRS. JUNE CHRISTINE ATTEBERY B.A.

Table of content: MRS. JUNE CHRISTINE ATTEBERY B.A. (NPI 1942338652)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942338652 NPI number — MRS. JUNE CHRISTINE ATTEBERY B.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ATTEBERY
Provider First Name:
JUNE
Provider Middle Name:
CHRISTINE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
B.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HALL
Provider Other First Name:
CHRISTINE
Provider Other Middle Name:
ATTEBERY
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
B.A.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1942338652
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1436 OLD ELKTON PIKE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DELLROSE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38453-5037
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2241 THORNTON TAYLOR PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37334-3637
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-433-6456
Provider Business Practice Location Address Fax Number:
931-433-8911
Provider Enumeration Date:
03/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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