Provider Demographics
NPI:1902397755
Name:ALEXANDER, JAMES EDWARD SR
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
Last Name:ALEXANDER
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 DUNN AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38114-4724
Mailing Address - Country:US
Mailing Address - Phone:901-805-4777
Mailing Address - Fax:
Practice Address - Street 1:2150 DUNN AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38114-4724
Practice Address - Country:US
Practice Address - Phone:901-805-4777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-27
Last Update Date:2018-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver