Harris, Atia Jordan

Harris, Atia Jordan is an individual health care provider with primary practice located at 51 N Dunlap St Ste 400 , Memphis TN 38105-4625. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. Harris, Atia Jordan can be contacted via phone (901) 287-7337.

Contact Information

Primary practice address
51 N Dunlap St Ste 400 Memphis TN 38105-4625
Phone: (901) 287-7337
Fax: (901) 287-6337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 48578 Tennessee
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X 48578 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 48578 Tennessee

Profile Details

NPI number 1114161098
LBN Legal business name Harris, Atia Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2009
Last updated Mar 17th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114161098 NPPES
Tennessee MEDICAID 1532546
Tennessee MEDICAID 217905001
Tennessee MEDICAID 00334251
Tennessee Other 48578

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