Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 55178 | TN |
NPI | 1023457181 |
---|---|
Provider Name | Alexia Flangini |
First Address | Chattanooga, TN 37403-2101 |
Second Address | Chattanooga, TN 37403-2101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2013 |
Last Update Date | 15/01/2019 |