Individual provider · NPI-1
Dr. Susan Alex, M.D.
Internal Medicine, Nephrology · Jackson, TN
NPI number1003864117
StatusActive
Last updated in NPPESNov 11, 2009
Details
- NPI
- 1003864117
- Entity type
- Individual (NPI-1)
- Name
- Dr. Susan Alex
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2006
- Last updated
- Nov 11, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 29292 | TN | Yes |
| 207R00000X | Internal Medicine | 29292 | TN |
Practice location
221 Sterling Farms Dr.Jackson, TN 38305-3609
Phone 731-668-4337 · Fax 731-661-0124
Mailing address
221 Sterling Farms Dr.Jackson, TN 38305-3609
Phone 731-668-4337 · Fax 731-661-0124
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