Individual
DR. ALEXANDRA DEE MAXTED CHANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1455 UNION AVE, MEMPHIS, TN 38104-6727
(901) 726-6655
(901) 726-9056
Mailing address
1455 UNION AVE, MEMPHIS, TN 38104-6727
(901) 726-6655
(901) 726-9056
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
61380
TN
Other
Enumeration date
04/12/2016
Last updated
07/24/2020
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