Basic Information
| Provider Information | |||||||||
| NPI: | 1326579749 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SWAILES | ||||||||
| FirstName: | ALEXA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 853 JEFFERSON AVE # E102 | ||||||||
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| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381032804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4847987342 | ||||||||
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| Practice Location | |||||||||
| Address1: | 880 MADISON AVE | ||||||||
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| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381033409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9015153500 | ||||||||
| FaxNumber: | 9015153509 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2017 | ||||||||
| LastUpdateDate: | 07/06/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 63610 | TN | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.