Healthcare Provider Details

I. General information

NPI: 1760595912
Provider Name (Legal Business Name): JOYCELYN A ATCHISON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOY ATCHISON M.D.

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 04/02/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 ELMER J BISSELL RD
BIRMINGHAM AL
35243-2941
US

IV. Provider business mailing address

1600 7TH AVE S
BIRMINGHAM AL
35233-1711
US

V. Phone/Fax

Practice location:
  • Phone: 205-638-9107
  • Fax:
Mailing address:
  • Phone: 205-638-9107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number11652
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: