Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | POD001042 | GA |
NPI | 1194860288 |
---|---|
Provider Name | Dr. Neville A Alexander |
First Address | Alpharetta, GA 30022-6634 |
Second Address | Alpharetta, GA 30022-6634 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 25/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
POD001042 | LICENSE (01) | GA |