Organization
DAVID ALFREDSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALFREDSON M.D. (PRESIDENT)
(931) 276-2234
Entity
Organization
Contact information
Practice address
529 W COMMERCE ST, LEWISBURG, TN 37091-3219
(931) 276-2234
(931) 276-2233
Mailing address
PO BOX 2361, LEWISBURG, TN 37091-1361
(931) 276-2234
(931) 276-2233
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD 13280
TN
208D00000X
General Practice Physician
MD 13280
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149997
BLUE CROSS BLUE SHIELD TN
TN
05
—
3383775
—
TN
Enumeration date
03/25/2007
Last updated
10/28/2024
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