Individual
ALEXANDRA LACOY BOBO MCGOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
390200000X - STUDENT
Contact information
Practice address
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163-3539
(901) 516-7509
(901) 516-7430
Mailing address
251 S CLAYBROOK ST STE A-206, MEMPHIS, TN 38104-3539
(901) 516-7509
(901) 516-7430
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
65459
TN
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
GA
Other
Enumeration date
03/30/2020
Last updated
07/06/2023
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