MEDICARE: DAVID ALLEN ATCHLEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	19715	AL

General Provider Information

NPI Number	:	1871574632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ALLEN ATCHLEY M.D.

Provider Business Mailing Address
First Line	:	550 MEDICAL CENTER DR SW
Second Line	:
City	:	FORT PAYNE
State	:	AL
Zip	:	35968-3418
Country	:	US
Telephone Number	:	256-845-3121
Fax Number	:	256-845-9759

Provider Business Practice Location Address
First Line	:	550 MEDICAL CENTER DR SW
Second Line	:
City	:	FORT PAYNE
State	:	AL
Zip	:	35968-3418
Country	:	US
Telephone Number	:	256-845-3121
Fax Number	:	256-845-9759

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	12/12/2011

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Directions to “ DAVID ALLEN ATCHLEY M.D.” Practice Location

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