Provider Demographics
NPI:1962147330
Name:ATTERBERRY, CAMERON
Entity type:Individual
Prefix:MR
First Name:CAMERON
Middle Name:
Last Name:ATTERBERRY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6867 GANO DR
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-3147
Mailing Address - Country:US
Mailing Address - Phone:404-626-9775
Mailing Address - Fax:
Practice Address - Street 1:6867 GANO DR
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-3147
Practice Address - Country:US
Practice Address - Phone:404-626-9775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-01
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P4000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPatient Transport