Individual
ALEX M ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 DOVER LN, OAK RIDGE, TN 37830-8793
(865) 482-9911
Mailing address
114 DOVER LN, OAK RIDGE, TN 37830-8793
(865) 482-9911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24409
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110235415
RR MEDICARE
—
05
—
3074675
—
TN
Enumeration date
06/28/2006
Last updated
08/01/2011
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