Organization
JALEX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L SCHRODER (PRESIDENT)
(423) 476-3278
Entity
Organization
Contact information
Practice address
3372 KEITH ST NW, CLEVELAND, TN 37312-3718
(423) 476-3278
Mailing address
3372 KEITH STREET NW, P. O. BOX 5991, CLEVELAND, TN 37320-5991
(423) 476-3278
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD0000027058
TN
Other
Enumeration date
04/04/2012
Last updated
06/13/2012
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