Individual
DR. SUSAN ALEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
221 STERLING FARMS DR., JACKSON, TN 38305-3609
(731) 668-4337
(731) 661-0124
Mailing address
221 STERLING FARMS DR., JACKSON, TN 38305-3609
(731) 668-4337
(731) 661-0124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29292
TN
207RN0300X
Nephrology Physician
Primary
29292
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016261
—
TN
Enumeration date
05/04/2006
Last updated
11/11/2009
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