Individual
DR. ALEX A.S. FIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
319 BETHANY LN, SHELBYVILLE, TN 37160-3453
(931) 684-8029
(931) 680-9835
Mailing address
2819 BLACK STALLION CT, MURFREESBORO, TN 37130-3353
(615) 890-0458
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD25776
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3074808
BC-BS PROVIDER NUMBER
TN
05
—
3810850
—
TN
Enumeration date
07/20/2005
Last updated
01/14/2014
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