Basic Information
Provider Information
NPI: 1326435538
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ATTIA
FirstName: MAGGIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4230 HARDING PIKE
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372052013
CountryCode: US
TelephoneNumber: 5613509243
FaxNumber:  
Practice Location
Address1: 791 OLD HICKORY BLVD
Address2:  
City: BRENTWOOD
State: TN
PostalCode: 370274504
CountryCode: US
TelephoneNumber: 6298885125
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/26/2015
LastUpdateDate: 09/20/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000X58436TNY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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