Individual
ALEX LEE STIDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
619 BLUE SPRINGS RD, SPEEDWELL, TN 37870-1847
(423) 489-6257
Mailing address
619 BLUE SPRINGS RD, SPEEDWELL, TN 37870-1847
(423) 489-6257
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6765
TN
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
02/02/2026
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