Chantara, Alexandra Dee Maxted

Chantara, Alexandra Dee Maxted is an individual health care provider with primary practice located at 1455 Union Ave , Memphis TN 38104-6727. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Chantara, Alexandra Dee Maxted can be contacted via phone (901) 726-6655.

Contact Information

Primary practice address
1455 Union Ave Memphis TN 38104-6727
Phone: (901) 726-6655
Fax: (901) 726-9056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 61380 Tennessee

Profile Details

NPI number 1679937999
LBN Legal business name Chantara, Alexandra Dee Maxted
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2016
Last updated Jul 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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