Individual
LEV V AXENOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
MD
Contact information
Practice address
1161 21ST AVENUE SOUTH, MCN CC3322, NASHVILLE, TN 37232-2561
(615) 343-4882
Mailing address
1161 21ST AVENUE SOUTH, MCN CC3322, NASHVILLE, TN 37232-2561
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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