Provider Demographics
NPI:1386813038
Name:TOMLINSON, ALEX GLENN
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:GLENN
Last Name:TOMLINSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 NORTH WALNUT CIR
Mailing Address - Street 2:APT B
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409
Mailing Address - Country:US
Mailing Address - Phone:336-327-0915
Mailing Address - Fax:
Practice Address - Street 1:142 NORTH WALNUT CIR
Practice Address - Street 2:APT B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409
Practice Address - Country:US
Practice Address - Phone:336-327-0915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist