Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 68094 | GA |
NPI | 1033344296 |
---|---|
Provider Name | Dr. Thomas Cary Alexander JR. |
First Address | Savannah, GA 31405-6736 |
Second Address | Savannah, GA 31405-6736 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2009 |
Last Update Date | 21/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003166962A | (05) | GA |