Healthcare Provider Details

I. General information

NPI: 1881786192
Provider Name (Legal Business Name): ALEXANDER GARRY NEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 10/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 PATTERSON ST SUITE 202
NASHVILLE TN
37203-1562
US

IV. Provider business mailing address

2400 PATTERSON ST SUITE 202
NASHVILLE TN
37203-1562
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-0201
  • Fax: 615-327-0403
Mailing address:
  • Phone: 615-327-0201
  • Fax: 615-327-0403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number24624
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: