Provider Demographics
NPI:1942338652
Name:ATTEBERY, JUNE CHRISTINE (BA)
Entity Type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:CHRISTINE
Last Name:ATTEBERY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MRS
Other - First Name:CHRISTINE
Other - Middle Name:ATTEBERY
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA
Mailing Address - Street 1:1436 OLD ELKTON PIKE
Mailing Address - Street 2:
Mailing Address - City:DELLROSE
Mailing Address - State:TN
Mailing Address - Zip Code:38453-5037
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2241 THORNTON TAYLOR PKWY
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37334-3637
Practice Address - Country:US
Practice Address - Phone:931-433-6456
Practice Address - Fax:931-433-8911
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator