ALEX OLEG RONIN

SODDY DAISY, TN
NPI1730537481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  apn0000021206)
Enumeration Date2016-06-02
Last Update Date2016-12-13
Business Address
-- ALEX OLEG RONIN ANP
210 WALMART DR
SODDY DAISY, TN 37379-5022
Phone number: 423-332-6155
Mailing Address
-- ALEX OLEG RONIN ANP
1949 GUNBARREL RD SUITE 230
CHATTANOOGA, TN 37421-3188
Phone number: 423-495-4349