Individual
ALEXANDRA ROSE MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 ACCELERATOR WAY, KNOXVILLE, TN 37920-3078
(865) 546-2663
(865) 546-9047
Mailing address
1600 ACCELERATOR WAY, KNOXVILLE, TN 37920-3078
(865) 546-2663
(865) 546-9047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4685
TN
363A00000X
Physician Assistant
PA2416
KY
363AS0400X
Surgical Physician Assistant
4685
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100612140
—
KY
Enumeration date
10/30/2018
Last updated
08/15/2022
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