Organization · NPI-2
David Alfredson MD PC
Radiology, Diagnostic Radiology · Lewisburg, TN
NPI number1487771200
StatusActive
Last updated in NPPESOct 28, 2024
Details
- NPI
- 1487771200
- Entity type
- Organization (NPI-2)
- Legal business name
- David Alfredson MD PC
- Organization subpart
- No
- Enumeration date
- Mar 25, 2007
- Certification date
- Oct 28, 2024
- Last updated
- Oct 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | MD 13280 | TN | Yes |
| 208D00000X | General Practice | MD 13280 | TN |
Practice location
529 W Commerce StLewisburg, TN 37091-3219
Phone 931-276-2234 · Fax 931-276-2233
Mailing address
Po Box 2361Lewisburg, TN 37091-1361
Phone 931-276-2234 · Fax 931-276-2233
Authorized official
David Alfredson
President
9312762234
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