Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEX R BOLLER, PA-C
ActiveALEX R BOLLER, PA-C is a Physician Assistant healthcare provider located in MADISONVILLE, Tennessee. NPI 1568449205 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MADISONVILLE, TN
Registration Details
- NPI Number
- 1568449205
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2005 (20.458319436057 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
MA-001385-L (PA)4902 (TN)004090 (NY)
Practice Information
- Address
-
301 HIWASSEE COMMUNITY DR.MADISONVILLE, TN, 37354Browse TN providers · Browse ZIP 37354
- Phone
- 4234367730
- Fax
- 4234360384
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MADISONVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| WILLIAM CHANDLER HUTCHESON | PA | 1114518081 |
| MRS. NEISHA ANGELICA CRESPO-RAMOS | PA-C | 1134849896 |
| CANA WILLIAMS | — | 1457151011 |
| MCKENZIE TAYLOR HENRY | PA | 1588549315 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.