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NPI Code Detail

MEDICARE: ALEXANDER MICHAEL BORES DPT

MEDICARE: ALEXANDER MICHAEL BORES DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist10635SC

General Provider Information

NPI Number : 1083282271
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER MICHAEL BORES DPT
Provider Business Mailing Address
First Line : PO BOX 306393
Second Line :
City : NASHVILLE
State : TN
Zip : 37230-6393
Country : US
Telephone Number : 615-373-1350
Fax Number : 615-921-6504
Provider Business Practice Location Address
First Line : 9512 DORCHESTER RD STE 140
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29485-4305
Country : US
Telephone Number : 843-695-7970
Fax Number : 843-695-7971
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2021
Last Update Date : 06/14/2021

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Directions to “ ALEXANDER MICHAEL BORES DPT” Practice Location

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