Healthcare Provider Details

I. General information

NPI: 1518669183
Provider Name (Legal Business Name): ALEXIS ANDREAS DONALD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 BRANDIES CIR
MURFREESBORO TN
37128-7687
US

IV. Provider business mailing address

529 BRANDIES CIR
MURFREESBORO TN
37128-7687
US

V. Phone/Fax

Practice location:
  • Phone: 901-734-0387
  • Fax:
Mailing address:
  • Phone: 901-734-0387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number77568
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: