Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | MD14355 | DC |
NPI | 1124293311 |
---|---|
Provider Name | Dr. Alex James Hemphill JR. |
First Address | Washington, DC 20018-2430 |
Second Address | Washington, DC 20018-2430 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 28/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0489870 | (05) | DC |
C62114 | (02) | DC |