IndividualActive
Alex Boller, PA-C
NPI 1568449205 · Physician Assistant · Madisonville, TN
Provider details
- NPI number
- 1568449205
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- MA-001385-L (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
301 Hiwassee Community Dr.
Madisonville, TN 37354
Phone: (423) 436-7730
Fax: (423) 436-0384
Approximate (ZIP-level) locationGet directions
Mailing address
301 Hiwassee Community Dr.
Madisonville, TN 37354
Registry dates
- Enumerated
- 2005-12-23
- Last updated
- 2023-03-07
- Certified
- 2022-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.