Individual
RYAN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MPH
Contact information
Practice address
5310 BALL CAMP PIKE, KNOXVILLE, TN 37921-3234
(865) 523-4704
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3603
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
3603
TN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
3603
TN
208D00000X
General Practice Physician
3603
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q042438
—
TN
Enumeration date
04/10/2017
Last updated
03/11/2024
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