Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | 0103301137 | VA |
N | 213ES0000X | Sports Medicine | 0103301137 | VA |
Y | 213ES0103X | Foot & Ankle Surgery | 0103301137 | VA |
NPI | 1215282652 |
---|---|
Provider Name | Dr. Alexander C Mount |
First Address | North Chesterfield, VA 23235-4730 |
Second Address | North Chesterfield, VA 23235-4730 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2012 |
Last Update Date | 27/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1215282652 | (05) | VA |