ALEXANDRIA GRACE-MARY HOLDER

ROGERSVILLE, TN
NPI1275057523
Former NameALEXANDRIA GRACE-MARY LOGAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: TN  22875)
Enumeration Date2017-07-28
Last Update Date2017-07-28
Business Address
ALEXANDRIA GRACE-MARY HOLDER PNP
4307 HIGHWAY 66 S
ROGERSVILLE, TN 37857-3155
Phone number: 423-921-1600
Mailing Address
ALEXANDRIA GRACE-MARY HOLDER PNP
PO BOX 850
ROGERSVILLE, TN 37857-0850
Phone number: 423-921-1600
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