Dunaway, Dan Alexander

Dunaway, Dan Alexander is an individual health care provider with primary practice located at 5210 Poplar Ave Suite 100, Memphis TN 38119-3515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Dunaway, Dan Alexander can be contacted via phone (901) 761-0685.

Contact Information

Primary practice address
5210 Poplar Ave Suite 100 Memphis TN 38119-3515
Phone: (901) 761-0685
Fax: (901) 761-0688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 5706 Tennessee

Profile Details

NPI number 1295705176
LBN Legal business name Dunaway, Dan Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295705176 NPPES
Tennessee MEDICAID 3144214

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