Provider Demographics
NPI:1588711030
Name:ZOTOS, ALEXANDER P (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:P
Last Name:ZOTOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2051 HAMILL RD STE 403
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4653
Mailing Address - Country:US
Mailing Address - Phone:423-316-8147
Mailing Address - Fax:423-870-2041
Practice Address - Street 1:2051 HAMILL RD STE 403
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4653
Practice Address - Country:US
Practice Address - Phone:423-316-8147
Practice Address - Fax:423-870-2041
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41508207P00000X
TNMD0000041508207Q00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine