Individual
ALEKSANDER IVANOVICH MALAKHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HIGHWAY 411 SOUTH, BENTON, TN 37307-0308
(423) 338-2831
(423) 338-2833
Mailing address
HIGHWAY 411 SOUTH, BENTON, TN 37307-0308
(423) 338-2831
(423) 338-2833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36698
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3879621
—
TN
Enumeration date
08/17/2006
Last updated
07/08/2007
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